Clinician Credentialing Roster-Updated 02/24/2021 Providers Last Name Providers First Name Providers Middle Name Credentialing Expiration Date Aaron Hannah Carson 8/18/2022 Abe Fumie 3/17/2022 Abello Carolina Maria 8/7/2022 Abernathy Rachel Virginia 8/21/2021 Abernethy Erin Amelia 7/1/2022 Abernethy Ashley Beth 11/7/2021 Adamczyk Ryan Robert 8/29/2022 Adamovich Elizabeth Anne 7/10/2022 Adams Mettia Ann 11/16/2022 Adams Clarissa Diane 2/24/2023 Adams Tiffanie Lauren 3/12/2022 Adams Sharon Lavonda 3/25/2021 Adams Jabari Quaashie 6/16/2022 Adams Donna Renee 10/9/2022 Adams Hunter Nikkole 12/29/2022 Adams Ellen Lillian 8/16/2023 Adams Robert McLain 12/6/2021 Adams-Rodriguez Stephanie Elizabeth 1/4/2024 Adedokun Joseph Olatunde 10/7/2021 Aden Sharon Kaye 7/24/2021 Adepetun Ruth Damilola 1/6/2023 Adkins Angela Beth 4/25/2022 Adrian Stephanie Amanda 2/3/2022 Adriatico John Leo 10/25/2021 Adusei Ama Birago 6/25/2021 Agiato Maria Gallo 6/19/2021 Aguilar Lynette Christine 8/21/2021 Aguilera Tamra 10/3/2021 Agunobi Rita Nkem 5/26/2023 Agusta Jacqueline Rose 7/21/2022 Alanis-Cook Kristy Dawn 1/19/2024 Albino Rosanna Pena 1/14/2022 Alexander Maria Teresa 9/15/2022 Alford Erica Rochelle 7/19/2021 Alford Allison G 2/27/2023 Allen Rebecca Joy 10/8/2023 Allen Venus Ebony 11/8/2021 Allen Stephanie Edwards 2/13/2023 Allen Cassandra Jean 3/23/2023 Allen Marguerite Anne 2/21/2022 Allen Pansy Daniels 8/1/2022 Alligood Hannah Patricia 11/28/2021 Alloway Brenda M 7/28/2022 Aloian Samuel David 10/22/2022 Alspaugh John Ray 1/24/2022 Alston Latisha Diane 2/18/2022 Alston Dejah Simone 2/17/2023 Alston Venita 10/27/2023 Alston Tracy 4/3/2022 Alvarado Joshua Emmanuel 1/22/2022 Ambrosini Robin West 11/13/2021 Clinician Credentialing Roster-Updated 02/24/2021 Providers Last Name Providers First Name Providers Middle Name Credentialing Expiration Date Amematsro Fred Senyonam 6/12/2022 Amponsah Nana Akua 8/6/2021 Andersen Corrine M. 7/2/2021 Anderson Megan Blair 5/27/2023 Anderson Leon Robert 3/26/2022 Anderson Robert Jay 12/11/2022 Anderson Ellen Rachel 6/17/2023 Anderson John T 11/11/2023 Anderson Rulondo Tehran 8/21/2022 Anderson Carolyn Sue 3/7/2021 Anderson Jason Drew 12/17/2021 Anderson Stacey Lynn 8/21/2022 Anderson-Crowder Tia Renee 10/24/2022 Andersson Carla Jane 2/12/2022 Andrews Kandace Dawn 8/19/2023 Andrews Patricia Elaine 10/13/2022 Angell Jane 1/28/2022 Angulo Natalie Marie 10/28/2023 Annarino Misty 4/3/2021 Anthony Daniel Phillip 12/14/2023 Anthony-Byng Kimberly Ann 5/22/2022 Anthony-Getant Laura Ida 1/18/2022 Antoszyk Nadia Corinne 5/7/2021 Antunez Graciela Abellaneda 3/12/2023 Arena Laurie Lynne 3/19/2023 Arenz Rachelle Ann 10/29/2021 Arfeen Syed Tajul 10/10/2021 Armbrust Brenna Jean 2/18/2022 Armbrust Nicole M. 6/27/2021 Armstrong Dena Carver 11/30/2023 Arnold Cynthia Lynne 12/15/2022 Arnold Margaret Robinson 6/7/2021 Arthur Miranda Ashley 7/30/2023 Asa Nick 10/1/2022 Asbell Yolanda Nicholette 5/3/2021 Ashe Sue Lynn 6/16/2023 Ashhali Malik R. 4/18/2022 Atkins Jennifer Morgan 8/19/2021 Atkinson Nicole Monique 12/4/2020 Atkinson Shannon Ashley 1/28/2022 Auel Gwenn Keller 12/3/2022 Aufiero Bianca Ann 4/2/2022 Austin Rebecca Smith 1/22/2023 Austin Cindy Suzanne 9/4/2021 Austin Gwynneth Jones 5/14/2021 Averette John Paul 3/26/2022 Ayers Jill Leighann 4/14/2022 Aziz Tarek 2/10/2023 Bachman Randall John 3/15/2021 Badramraju Whitney Lane 6/13/2021 Bagheri Shahla 1/28/2023 Clinician Credentialing Roster-Updated 02/24/2021 Providers Last Name Providers First Name Providers Middle Name Credentialing Expiration Date Bagwell Ashley Elizabeth 5/14/2021 Bah Fatoumata 8/17/2023 Bailey Shenice Hutchison 5/2/2022 Bailey Gloria Lee 5/6/2021 Bailey Nicholas Alexander 8/1/2021 Bailey Nancy Ann 1/26/2023 Bailey Tonia Renea 1/4/2024 Bailey Christopher Shane 8/29/2021 Bailey-Day Kay Lynn 3/3/2022 Baird Latasha Brown 7/10/2021 Baker Kendra Harris 7/17/2022 Baker Sara Baughman 7/12/2021 Baker Tiffany Rachonne 1/15/2023 Baker Melanie Suzanne 2/14/2021 Baker Sarah Larson 9/7/2021 Baker Juliea Ioana 9/4/2022 Baldwin Chelsea Lynn 6/5/2022 Bales Erica Beth 6/14/2021 Baley John Winters 11/14/2022 Balkum Alexandra Brye 6/13/2021 Ball Cynthia Louise 9/9/2021 Ballengee Frances Elizabeth 10/27/2023 Bancroft Jennifer Courtney 6/28/2022 Bandini Jeanine Sammons 6/26/2022 Bandzwolek Jennifer 4/22/2023 Banjoko Tony Olaniyi 10/18/2022 Banks Johanna Nicole 4/10/2021 Banks LaQuandra D'Airra 12/16/2022 Banks Keisha Tia Wanal 10/15/2023 Banks Mercida Louvett 10/28/2021 Banwart Terylee Rachelle 2/11/2022 Barbee Erin Nicole 9/12/2021 Barbee Melissa Diane 6/12/2022 Barber John Andrew 12/18/2021 Barber Tanika Evette 12/18/2021 Barber MeLane Gail 3/5/2022 Barber Brenda Kaye 3/31/2022 Barber Diane Benson 5/23/2022 Barber Dentavius Lamarn 7/10/2022 Barber Shuantia Regina 3/26/2021 Bardascino Laura Marie 10/3/2022 Bare Richard Allen 3/12/2023 Barella Lisa Ann 1/2/2022 Barisa John Joseph 5/14/2023 Barker Ryan Wesley 12/14/2023 Barnes Dara Elise 8/29/2021 Barnes Leah Christine 3/4/2023 Barnette Phyllis Yvette 10/8/2023 Barnhill Kaitlin Diane 4/15/2023 Barrett Meredith Katherine 10/13/2023 Barrett Patrick Robert 5/13/2021 Clinician Credentialing Roster-Updated 02/24/2021 Providers Last Name Providers First Name Providers Middle Name Credentialing Expiration Date Barron Chad 8/22/2021 Barthet Suzanne Marie 8/7/2021 Baskin Charles Andrew 7/19/2023 Baskin Robin Sue 12/17/2021 Basnet Pravesh 6/20/2021 Bastida Kate Louise 3/18/2022 Bateman Julia Kate 7/2/2022 Bates Nathan 11/4/2023 Bathory David Stefan 5/3/2022 Baugh Jimita Rae 7/4/2022 Bayer Ilene Lillian 3/27/2021 Beach Nekita Danette 10/27/2022 Beadell Jennifer Pauline 4/15/2022 Beal Jessica Ann 1/15/2023 Beal Matthew Samuel 5/27/2023 Beall Shannon Kathleen 1/28/2023 Beardsley Tara Ann 6/28/2022 Beatty Daniel R 7/23/2023 Beaver Miriam Ann 10/14/2022 Bechtel Stacy Elizabeth 11/19/2022 Beck Kristina Lamb 8/4/2023 Beck Dawn Earwood 12/17/2021 Becker Allison Gale 7/24/2022 Beddard Crystal Patrice 3/15/2021 Begrin Alisha Kathleen 8/4/2022 Beheler Christian Elaine 3/8/2023 Behrend Dawn Victoria 9/8/2023 Behrendt Tonyia Faith 9/27/2023 Beitzel Melissa Blakely 7/4/2022 Belanger Marie Frances 12/14/2023 Belich Megan Elizabeth 7/31/2022 Bell Barbara Rochelle 2/5/2023 Bell Elizabeth Renee 4/9/2021 Bell Tiffani Lynee' 7/24/2021 Bell Elizabeth Ashleigh 12/27/2021 Bell Renee Michelle 7/21/2022 Bell Ryan Thomas 1/20/2023 Bellamy Veronda 7/15/2021 Bellows Ronald Peter 7/14/2022 Benel Sabina 6/9/2022 Bennett Lydia Backer 1/15/2022 Bennett Cheryl Lynn 5/8/2022 Bensinger John Paul 6/7/2021 Benson Courtney Paige 4/4/2022 Benson Melissa Diane 12/17/2023 Bentley Melissa Ellen 11/25/2022 Benton Michelle Philbrook 8/25/2023 Benzenhafer Patricia Preston 12/23/2021 Beretsky Erin Elizabeth 5/22/2022 Berger Brandi Lynn 10/8/2023 Berkowski Monisha Leonora 7/22/2022 Clinician Credentialing Roster-Updated 02/24/2021 Providers Last Name Providers First Name Providers Middle Name Credentialing Expiration Date Berliner Juleah Mary Porter 5/11/2023 Bermudez Nidia Milena 9/22/2023 Berry Cynthia Lynn 12/28/2023 Besio Michael 10/23/2021 Best Patrice Dianne 7/31/2021 Betancourt Luis Emilio 2/2/2023 Bevel Cumi T 3/12/2023 Bhattacharya Sayanti 3/5/2021 Bialeck Tania Marie 12/2/2023 Bieber Gail Patricia 2/5/2023 Bierrenbach Ricardo 6/25/2022 Biffle Andrea Michelle 12/22/2022 Biller Louise Bargo 6/3/2022 Billings Jennifer Gail 6/14/2021 Billings Hope 5/6/2023 Billings Cheryl Heatherly 10/24/2021 Billmire Karen Leigh 10/30/2022 Bines Shirill 11/1/2021 Binion Christa Holiday 11/28/2021 Bird Sarah 8/11/2022 Bishop Sarah Elizabeth 8/28/2022 Bishop Sarinia Sherell 3/10/2023 Bishop Candace Michelle 9/6/2021 Biter Kelly Renee 9/30/2022 Bjorlie Thomas Erik 3/7/2022 Black Teri Carter 11/29/2023 Black Sarah Rebecca 6/18/2021 Black Kimberly Rochelle 10/31/2021 Black Katherine Nichole 10/31/2021 Black Reneisha Lachelle 3/6/2022 Black Dajah Anjanae 11/15/2023 Blackburn Alice 12/26/2021 Blackman Michele Christine 10/6/2023 Blackmon David Brandon 12/25/2021 Blackwelder Jill Delane 6/25/2021 Blake Shannon Crysti 7/1/2022 Blake Rebecca Thompson 8/8/2021 Blalock Jennifer Anne 6/17/2022 Bland Lovanda Mechelle 12/19/2021 Blankenship Chad Elvis 11/20/2022 Blankenship Alicia Averette 4/25/2021 Blankmann Meghan 2/13/2022 Blevins Susan Dawn 3/12/2023 Blews Meagan Marie 12/9/2023 Blocker Janice Marlene 8/19/2021 Blue Lauren Kelly 7/9/2023 Bobb Travis Scott 6/24/2021 Bochman Nichole Ellen 5/8/2021 Bogantes-Montero Jose Pablo 3/29/2023 Boggess Marquita Wallace 11/20/2022 Boheler Cecilia Smith 5/2/2021 Clinician Credentialing Roster-Updated 02/24/2021 Providers Last Name Providers First Name Providers Middle Name Credentialing Expiration Date Boler Amir Dai 1/3/2024 Bond Jasmine Ann 7/24/2022 Booker Melissa Artina 3/11/2023 Booker Alonzo Galvin 2/17/2023 Boovy Troy Evans 5/14/2021 Borror Glenn Randolph 10/15/2022 Borus Kristina Claire 7/6/2023 Bosley Keba Saban 11/18/2021 Bost Catherine Farley 7/9/2022 Bostick Julie Elizabeth 6/7/2021 Botte Alyssa Szymanski 3/11/2021 Bougere Sydna Elizabeth 3/30/2023 Boulet Jean Nicholas 6/21/2021 Boulos Elizabeth Lauren 2/4/2022 Bowen Darrin Ray 3/12/2023 Bowen Marianna 3/11/2022 Bowen Sara Elizabeth 11/24/2022 Bowers Kimberly Autumn 5/28/2021 Bowles Vernessa Minnette 7/16/2023 Bowman Christen Teresa 9/23/2021 Bowman Janine Lynne 4/16/2021 Boyce Deborah Morris 7/17/2022 Boyce Roxanne Maria 9/2/2022 Boyd Kayla Beth 5/31/2021 Boyd Rachael Sarah 7/31/2022 Boyd Michaela Dawn 1/1/2023 Boyd Elizabeth Ann 1/4/2024 Boyd Granita McClure 6/3/2023 Boyer Delia Samantha 6/13/2021 Boyette