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 7, 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
16 records for providers who work at Eastgate Family Care and Main Campus. Clear all filters
- Dr. Aisha GrantState medical license (VA)LapsedLapsed 3 days ago. No renewal has been recorded.No. VA-LIC-DEMO-4056Ends Oct 4, 2026
- Nadia BrooksState medical license (TN)Action dueRenewal under way. Renewal sent Sep 27, 2026. Expires Dec 21, 2026.No. TN-LIC-DEMO-4036Ends Dec 21, 2026
- Dr. Aisha GrantMalpractice insuranceCurrentCurrent. Start the renewal by Jan 18, 2027.No. RHP-MAL-DEMO-4057Ends Mar 4, 2027
- Dr. Nora WhitfieldState medical license (TN)CurrentCurrent. Start the renewal by Dec 23, 2026.No. TN-LIC-DEMO-4158Ends Mar 23, 2027
- Dr. Rosa DelgadoMalpractice insuranceCurrentCurrent. Start the renewal by Mar 1, 2027.No. RHP-MAL-DEMO-4147Ends Apr 15, 2027
- Dr. Lena OkaforMalpractice insuranceCurrentCurrent. Start the renewal by Apr 5, 2027.No. RHP-MAL-DEMO-4012Ends May 20, 2027
- Dr. Owen HaleState medical license (TN)CurrentCurrent. Start the renewal by May 11, 2027.No. TN-LIC-DEMO-4001Ends Aug 9, 2027
- Dr. Owen HaleMalpractice insuranceCurrentCurrent. Start the renewal by Jul 9, 2027.No. RHP-MAL-DEMO-4002Ends Aug 23, 2027
- Nadia BrooksMalpractice insuranceCurrentCurrent. Start the renewal by Jul 27, 2027.No. RHP-MAL-DEMO-4037Ends Sep 10, 2027
- Dr. Samuel OrtizMalpractice insuranceCurrentCurrent. Start the renewal by Aug 13, 2027.No. RHP-MAL-DEMO-4069Ends Sep 28, 2027
- Dr. Nora WhitfieldMalpractice insuranceCurrentCurrent. Start the renewal by Oct 7, 2027.No. RHP-MAL-DEMO-4159Ends Nov 21, 2027
- Dr. Aisha GrantState medical license (TN)CurrentCurrent. Start the renewal by Sep 2, 2027.No. TN-LIC-DEMO-4055Ends Dec 1, 2027
- Dr. Lena OkaforState medical license (TN)CurrentCurrent. Start the renewal by Dec 7, 2027.No. TN-LIC-DEMO-4011Ends Mar 6, 2028
- Dr. Rosa DelgadoState medical license (TN)CurrentCurrent. Start the renewal by Feb 9, 2028.No. TN-LIC-DEMO-4145Ends May 9, 2028
- Dr. Rosa DelgadoState medical license (VA)CurrentCurrent. Start the renewal by Mar 29, 2028.No. VA-LIC-DEMO-4146Ends Jun 27, 2028
- Dr. Samuel OrtizState medical license (TN)CurrentCurrent. Start the renewal by Jun 9, 2028.No. TN-LIC-DEMO-4068Ends Sep 8, 2028