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
28 records for providers who work at Jefferson Park and Riverbend. 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
- Dr. Hannah WeissPayer enrollment: Larkspur Health PlanPendingApplication sent Aug 28, 2026 (40 days ago) and not approved yet.No. LARK-ENR-DEMO-4088
- 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. 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. Ethan ColePayer enrollment: MedicareCurrentCurrent. Start the renewal by Nov 30, 2026.No. MCR-ENR-DEMO-4141Ends Mar 30, 2027
- Dr. Hannah WeissPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Jan 8, 2027.No. BLUE-ENR-DEMO-4090Ends May 8, 2027
- Nadia BrooksPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jan 29, 2027.No. LARK-ENR-DEMO-4045Ends May 31, 2027
- Dr. Ethan ColePayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jun 30, 2027.No. LARK-ENR-DEMO-4143Ends Oct 28, 2027
- Nadia BrooksPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Jul 28, 2027.No. MCD-ENR-DEMO-4044Ends Nov 25, 2027
- Nadia BrooksPayer enrollment: MedicareCurrentCurrent. Start the renewal by Aug 11, 2027.No. MCR-ENR-DEMO-4043Ends Dec 9, 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
- Dr. Aisha GrantPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Feb 21, 2028.No. MCD-ENR-DEMO-4065Ends Jun 20, 2028
- Dr. Aisha GrantPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Feb 25, 2028.No. BLUE-ENR-DEMO-4067Ends Jun 25, 2028
- Dr. Rosa DelgadoPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by May 18, 2028.No. LARK-ENR-DEMO-4157Ends Sep 15, 2028
- Dr. Hannah WeissDEA registration (TN)CurrentCurrent. Start the renewal by Aug 15, 2028.No. TN-DEA-DEMO-4085Ends Oct 14, 2028
- Dr. Aisha GrantPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jul 27, 2028.No. LARK-ENR-DEMO-4066Ends Nov 24, 2028
- Dr. Hannah WeissPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Sep 1, 2028.No. HARB-ENR-DEMO-4089Ends Jan 1, 2029
- Dr. Rosa DelgadoDEA registration (TN)CurrentCurrent. Start the renewal by Nov 14, 2028.No. TN-DEA-DEMO-4151Ends Jan 13, 2029
- Dr. Ethan ColePayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Sep 22, 2028.No. HARB-ENR-DEMO-4144Ends Jan 22, 2029
- Nadia BrooksDEA registration (TN)CurrentCurrent. Start the renewal by Nov 24, 2028.No. TN-DEA-DEMO-4041Ends Jan 24, 2029
- Grace LiuPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Oct 24, 2028.No. BLUE-ENR-DEMO-4133Ends Feb 21, 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
- Grace LiuPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Nov 8, 2030.No. MCD-ENR-DEMO-4132Ends Mar 10, 2031
- Grace LiuPayer enrollment: MedicareCurrentCurrent. Start the renewal by Nov 22, 2030.No. MCR-ENR-DEMO-4131Ends Mar 24, 2031
- Dr. Hannah WeissPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Apr 18, 2031.No. MCD-ENR-DEMO-4087Ends Aug 18, 2031