Credentials
Every credential on file and every requirement with nothing on file, in the order work has to happen.
Download CSV
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
122 records for providers who work at Jefferson Park, Main Campus and Stonebridge, showing 1 to 50. Clear all filters
- Dr. Rosa DelgadoPayer enrollment: State MedicaidLapsedLapsed 20 days ago. No renewal has been recorded.No. MCD-ENR-DEMO-4156Ends Sep 17, 2026
- Nadia BrooksCAQH attestationLapsedLapsed 10 days ago. No renewal has been recorded.No. RHP-CAQH-DEMO-4042Ends Sep 27, 2026
- Dr. Priyanka RaoOIG exclusion checkLapsedLapsed 9 days ago. No renewal has been recorded.No. RHP-OIG-DEMO-4106Ends Sep 28, 2026
- Dr. Aisha GrantState medical license (VA)LapsedLapsed 3 days ago. No renewal has been recorded.No. VA-LIC-DEMO-4056Ends Oct 4, 2026
- Dr. Nora WhitfieldOIG exclusion checkMissingNothing on file. Monthly screening against the federal exclusion list, for every provider.
- Dr. Nora WhitfieldPayer enrollment: Bluestem MutualMissingNothing on file. Visits are billed to Bluestem Mutual.
- Dr. Nora WhitfieldPrivileges: Ashgrove Regional HospitalMissingNothing on file. Works at Ashgrove Regional Hospital.
- Dr. Owen HaleDEA registration (TN)ExpiringExpires in 12 days. Renewal not started.No. TN-DEA-DEMO-4006Ends Oct 19, 2026
- Theo RamirezMalpractice insuranceExpiringPolicy ends in 20 days. Renewal sent Sep 22, 2026.No. RHP-MAL-DEMO-4047Ends Oct 27, 2026
- Dr. Hannah WeissPayer enrollment: Larkspur Health PlanPendingApplication sent Aug 28, 2026 (40 days ago) and not approved yet.No. LARK-ENR-DEMO-4088
- Dr. Nora WhitfieldPayer enrollment: Larkspur Health PlanPendingApplication sent Sep 17, 2026 (20 days ago) and not approved yet.No. LARK-ENR-DEMO-4165
- Dr. Nora WhitfieldPayer enrollment: MedicarePendingApplication sent Sep 7, 2026 (30 days ago) and not approved yet.No. MCR-ENR-DEMO-4164
- Dr. Lena OkaforPayer enrollment: MedicareAction dueRenewal work should have started 26 days ago. Revalidate by Jan 10, 2027.No. MCR-ENR-DEMO-4018Ends Jan 10, 2027
- Dr. Priyanka RaoCPR / BLS certificationAction dueRenewal under way. Renewal sent Oct 4, 2026. Expires Nov 1, 2026.No. RHP-BLS-DEMO-4104Ends Nov 1, 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. Owen HaleOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4005Ends Oct 26, 2026
- Dr. Lena OkaforOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4015Ends Oct 26, 2026
- Nadia BrooksOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4040Ends Oct 26, 2026
- Theo RamirezOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4050Ends Oct 26, 2026
- Dr. Aisha GrantOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4060Ends Oct 26, 2026
- Dr. Samuel OrtizOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4072Ends Oct 26, 2026
- Dr. Hannah WeissOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4084Ends Oct 26, 2026
- Dr. Ethan ColeOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4138Ends Oct 26, 2026
- Dr. Rosa DelgadoOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4150Ends Oct 26, 2026
- Dr. Priyanka RaoCAQH attestationCurrentCurrent. Start the renewal by Oct 23, 2026.No. RHP-CAQH-DEMO-4107Ends Nov 22, 2026
- Dr. Rosa DelgadoCAQH attestationCurrentCurrent. Start the renewal by Oct 26, 2026.No. RHP-CAQH-DEMO-4154Ends Nov 25, 2026
- Dr. Samuel OrtizCAQH attestationCurrentCurrent. Start the renewal by Nov 3, 2026.No. RHP-CAQH-DEMO-4074Ends Dec 3, 2026
- Dr. Nora WhitfieldCPR / BLS certificationCurrentCurrent. Start the renewal by Nov 3, 2026.No. RHP-BLS-DEMO-4160Ends Dec 3, 2026
- Dr. Ethan ColeCAQH attestationCurrentCurrent. Start the renewal by Nov 10, 2026.No. RHP-CAQH-DEMO-4140Ends Dec 10, 2026
- Dr. Hannah WeissCAQH attestationCurrentCurrent. Start the renewal by Nov 16, 2026.No. RHP-CAQH-DEMO-4086Ends Dec 16, 2026
- Dr. Aisha GrantCPR / BLS certificationCurrentCurrent. Start the renewal by Nov 20, 2026.No. RHP-BLS-DEMO-4058Ends Dec 22, 2026
- Dr. Nora WhitfieldCAQH attestationCurrentCurrent. Start the renewal by Nov 26, 2026.No. RHP-CAQH-DEMO-4163Ends Dec 26, 2026
- Dr. Owen HaleCAQH attestationCurrentCurrent. Start the renewal by Dec 1, 2026.No. RHP-CAQH-DEMO-4007Ends Dec 31, 2026
- Dr. Lena OkaforCAQH attestationCurrentCurrent. Start the renewal by Dec 14, 2026.No. RHP-CAQH-DEMO-4017Ends Jan 13, 2027
- Dr. Priyanka RaoMalpractice insuranceCurrentCurrent. Start the renewal by Nov 27, 2026.No. RHP-MAL-DEMO-4103Ends Jan 13, 2027
- Dr. Aisha GrantCAQH attestationCurrentCurrent. Start the renewal by Dec 15, 2026.No. RHP-CAQH-DEMO-4064Ends Jan 14, 2027
- Theo RamirezCAQH attestationCurrentCurrent. Start the renewal by Jan 1, 2027.No. RHP-CAQH-DEMO-4052Ends Jan 31, 2027
- Dr. Hannah WeissMalpractice insuranceCurrentCurrent. Start the renewal by Dec 28, 2026.No. RHP-MAL-DEMO-4081Ends Feb 11, 2027
- Dr. Samuel OrtizPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Oct 30, 2026.No. LARK-ENR-DEMO-4076Ends Mar 1, 2027
- Dr. Aisha GrantMalpractice insuranceCurrentCurrent. Start the renewal by Jan 18, 2027.No. RHP-MAL-DEMO-4057Ends Mar 4, 2027
- Dr. Rosa DelgadoPayer enrollment: MedicareCurrentCurrent. Start the renewal by Nov 6, 2026.No. MCR-ENR-DEMO-4155Ends Mar 6, 2027
- Dr. Ethan ColePayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Nov 16, 2026.No. MCD-ENR-DEMO-4142Ends Mar 16, 2027
- Dr. Nora WhitfieldState medical license (TN)CurrentCurrent. Start the renewal by Dec 23, 2026.No. TN-LIC-DEMO-4158Ends Mar 23, 2027
- Dr. Ethan ColePayer enrollment: MedicareCurrentCurrent. Start the renewal by Nov 30, 2026.No. MCR-ENR-DEMO-4141Ends Mar 30, 2027
- Dr. Rosa DelgadoMalpractice insuranceCurrentCurrent. Start the renewal by Mar 1, 2027.No. RHP-MAL-DEMO-4147Ends Apr 15, 2027
- Dr. Owen HaleCPR / BLS certificationCurrentCurrent. Start the renewal by Mar 19, 2027.No. RHP-BLS-DEMO-4003Ends Apr 18, 2027
- Dr. Lena OkaforPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Jan 1, 2027.No. MCD-ENR-DEMO-4019Ends May 1, 2027
- Theo RamirezState medical license (TN)CurrentCurrent. Start the renewal by Feb 4, 2027.No. TN-LIC-DEMO-4046Ends May 5, 2027
- Dr. Hannah WeissPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Jan 8, 2027.No. BLUE-ENR-DEMO-4090Ends May 8, 2027
- Dr. Hannah WeissState medical license (TN)CurrentCurrent. Start the renewal by Feb 10, 2027.No. TN-LIC-DEMO-4080Ends May 11, 2027