Credentials
Every credential on file and every requirement with nothing on file, in the order work has to happen.
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As of
Oct 8, 2026
Pick as many as you like in each row. A record shows if it matches any pick in a row, and every row.
All typesState medical licenseDEA registrationState controlled substance registrationBoard certificationMalpractice insuranceCAQH attestationPayer enrollmentHospital or surgery center privilegesCPR / BLS certificationOIG exclusion check
All sitesEast RegionWest RegionEastgate Family CareJefferson ParkMain CampusRiverbendRiverside OrthopedicsStonebridge
9 records for providers who work at Eastgate Family Care and Jefferson Park. Clear all filters
- Nadia BrooksCAQH attestationLapsedLapsed 10 days ago. No renewal has been recorded.No. RHP-CAQH-DEMO-4042Ends Sep 28, 2026
- Dr. Ethan ColeCAQH attestationCurrentCurrent. Start the renewal by Nov 11, 2026.No. RHP-CAQH-DEMO-4140Ends Dec 11, 2026
- Dr. Hannah WeissCAQH attestationCurrentCurrent. Start the renewal by Nov 17, 2026.No. RHP-CAQH-DEMO-4086Ends Dec 17, 2026
- Dr. Hannah WeissMalpractice insuranceCurrentCurrent. Start the renewal by Dec 29, 2026.No. RHP-MAL-DEMO-4081Ends Feb 12, 2027
- Dr. Ethan ColeMalpractice insuranceCurrentCurrent. Start the renewal by Jun 4, 2027.No. RHP-MAL-DEMO-4135Ends Jul 20, 2027
- Nadia BrooksMalpractice insuranceCurrentCurrent. Start the renewal by Jul 28, 2027.No. RHP-MAL-DEMO-4037Ends Sep 11, 2027
- Dr. Hannah WeissDEA registration (TN)CurrentCurrent. Start the renewal by Aug 16, 2028.No. TN-DEA-DEMO-4085Ends Oct 15, 2028
- Nadia BrooksDEA registration (TN)CurrentCurrent. Start the renewal by Nov 24, 2028.No. TN-DEA-DEMO-4041Ends Jan 25, 2029
- Dr. Ethan ColeDEA registration (TN)CurrentCurrent. Start the renewal by May 25, 2029.No. TN-DEA-DEMO-4139Ends Jul 24, 2029