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
17 records for providers who work at Jefferson Park, Riverbend and Stonebridge. Clear all filters
- Nadia BrooksCAQH attestationLapsedLapsed 10 days ago. No renewal has been recorded.No. RHP-CAQH-DEMO-4042Ends Sep 27, 2026
- Grace LiuDEA registration (VA)Action dueRenewal work should have started 5 days ago. Expires Dec 1, 2026.No. VA-DEA-DEMO-4128Ends Dec 1, 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. 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 GrantCAQH attestationCurrentCurrent. Start the renewal by Dec 15, 2026.No. RHP-CAQH-DEMO-4064Ends Jan 14, 2027
- Grace LiuCAQH attestationCurrentCurrent. Start the renewal by Dec 24, 2026.No. RHP-CAQH-DEMO-4130Ends Jan 23, 2027
- Theo RamirezCAQH attestationCurrentCurrent. Start the renewal by Jan 1, 2027.No. RHP-CAQH-DEMO-4052Ends Jan 31, 2027
- Dr. Aisha GrantDEA registration (TN)CurrentCurrent. Start the renewal by Nov 9, 2027.No. TN-DEA-DEMO-4061Ends Jan 8, 2028
- Dr. Aisha GrantDEA registration (VA)CurrentCurrent. Start the renewal by Dec 28, 2027.No. VA-DEA-DEMO-4062Ends Feb 26, 2028
- Theo RamirezDEA registration (TN)CurrentCurrent. Start the renewal by May 18, 2028.No. TN-DEA-DEMO-4051Ends Jul 17, 2028
- Dr. Hannah WeissDEA registration (TN)CurrentCurrent. Start the renewal by Aug 15, 2028.No. TN-DEA-DEMO-4085Ends Oct 14, 2028
- Dr. Rosa DelgadoDEA registration (TN)CurrentCurrent. Start the renewal by Nov 14, 2028.No. TN-DEA-DEMO-4151Ends Jan 13, 2029
- Nadia BrooksDEA registration (TN)CurrentCurrent. Start the renewal by Nov 24, 2028.No. TN-DEA-DEMO-4041Ends Jan 24, 2029
- Dr. Rosa DelgadoDEA registration (VA)CurrentCurrent. Start the renewal by Jan 2, 2029.No. VA-DEA-DEMO-4152Ends Mar 3, 2029
- Dr. Ethan ColeDEA registration (TN)CurrentCurrent. Start the renewal by May 24, 2029.No. TN-DEA-DEMO-4139Ends Jul 23, 2029