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
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All typesState medical licenseDEA registrationState controlled substance registrationBoard certificationMalpractice insuranceCAQH attestationPayer enrollmentHospital or surgery center privilegesCPR / BLS certificationOIG exclusion check
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82 records, 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
- 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 WhitfieldPayer enrollment: Bluestem MutualMissingNothing on file. Visits are billed to Bluestem Mutual.
- 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. Nora WhitfieldCPR / BLS certificationCurrentCurrent. Start the renewal by Nov 3, 2026.No. RHP-BLS-DEMO-4160Ends Dec 3, 2026
- Dr. Aisha GrantCPR / BLS certificationCurrentCurrent. Start the renewal by Nov 20, 2026.No. RHP-BLS-DEMO-4058Ends Dec 22, 2026
- Caleb FosterState medical license (TN)CurrentCurrent. Start the renewal by Oct 30, 2026.No. TN-LIC-DEMO-4092Ends Jan 29, 2027
- Dr. Samuel OrtizPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Oct 30, 2026.No. LARK-ENR-DEMO-4076Ends Mar 1, 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
- Caleb FosterPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Dec 9, 2026.No. HARB-ENR-DEMO-4100Ends Apr 8, 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
- Nadia BrooksPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jan 29, 2027.No. LARK-ENR-DEMO-4045Ends May 31, 2027
- Dr. Owen HalePayer enrollment: MedicareCurrentCurrent. Start the renewal by Feb 8, 2027.No. MCR-ENR-DEMO-4008Ends Jun 8, 2027
- Dr. Julian MooreState medical license (TN)CurrentCurrent. Start the renewal by Mar 29, 2027.No. TN-LIC-DEMO-4111Ends Jun 27, 2027
- Caleb FosterCPR / BLS certificationCurrentCurrent. Start the renewal by Jun 11, 2027.No. RHP-BLS-DEMO-4094Ends Jul 13, 2027
- Dr. Julian MoorePayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Mar 31, 2027.No. HARB-ENR-DEMO-4119Ends Jul 29, 2027
- Dr. Owen HaleState medical license (TN)CurrentCurrent. Start the renewal by May 11, 2027.No. TN-LIC-DEMO-4001Ends Aug 9, 2027
- Dr. Priyanka RaoPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Apr 30, 2027.No. BLUE-ENR-DEMO-4110Ends Aug 28, 2027
- Dr. Owen HalePayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Apr 30, 2027.No. LARK-ENR-DEMO-4009Ends Aug 30, 2027
- Dr. Marcus BellPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Jun 9, 2027.No. HARB-ENR-DEMO-4032Ends Oct 7, 2027
- Dr. Ethan ColeCPR / BLS certificationCurrentCurrent. Start the renewal by Sep 17, 2027.No. RHP-BLS-DEMO-4136Ends Oct 19, 2027
- Dr. Ethan ColePayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jun 30, 2027.No. LARK-ENR-DEMO-4143Ends Oct 28, 2027
- Dr. Lena OkaforPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Jul 9, 2027.No. BLUE-ENR-DEMO-4021Ends Nov 6, 2027
- Nadia BrooksCPR / BLS certificationCurrentCurrent. Start the renewal by Oct 8, 2027.No. RHP-BLS-DEMO-4038Ends Nov 7, 2027
- Nadia BrooksPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Jul 28, 2027.No. MCD-ENR-DEMO-4044Ends Nov 25, 2027
- Dr. Marcus BellState medical license (TN)CurrentCurrent. Start the renewal by Aug 27, 2027.No. TN-LIC-DEMO-4023Ends Nov 25, 2027
- Dr. Aisha GrantState medical license (TN)CurrentCurrent. Start the renewal by Sep 2, 2027.No. TN-LIC-DEMO-4055Ends Dec 1, 2027
- Nadia BrooksPayer enrollment: MedicareCurrentCurrent. Start the renewal by Aug 11, 2027.No. MCR-ENR-DEMO-4043Ends Dec 9, 2027
- Dr. Hannah WeissCPR / BLS certificationCurrentCurrent. Start the renewal by Nov 19, 2027.No. RHP-BLS-DEMO-4082Ends Dec 20, 2027
- Dr. Marcus BellPayer enrollment: MedicareCurrentCurrent. Start the renewal by Sep 3, 2027.No. MCR-ENR-DEMO-4030Ends Jan 2, 2028
- Theo RamirezPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Sep 8, 2027.No. LARK-ENR-DEMO-4053Ends Jan 6, 2028
- Dr. Priyanka RaoPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Sep 29, 2027.No. LARK-ENR-DEMO-4109Ends Jan 27, 2028
- Dr. Lena OkaforState medical license (TN)CurrentCurrent. Start the renewal by Dec 7, 2027.No. TN-LIC-DEMO-4011Ends Mar 6, 2028
- Grace LiuCPR / BLS certificationCurrentCurrent. Start the renewal by Feb 25, 2028.No. RHP-BLS-DEMO-4125Ends Mar 27, 2028
- Dr. Lena OkaforPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Dec 8, 2027.No. LARK-ENR-DEMO-4020Ends Apr 6, 2028
- Dr. Marcus BellCPR / BLS certificationCurrentCurrent. Start the renewal by Mar 16, 2028.No. RHP-BLS-DEMO-4025Ends Apr 15, 2028
- Dr. Rosa DelgadoState medical license (TN)CurrentCurrent. Start the renewal by Feb 9, 2028.No. TN-LIC-DEMO-4145Ends May 9, 2028
- Dr. Samuel OrtizPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Jan 27, 2028.No. HARB-ENR-DEMO-4077Ends May 26, 2028