| Provider ID | Provider Name | Department ID | Changed Field | Old Value → New Value |
|---|
| 79722 | Ali, Sabina Ahmed | 20206021 | IsPrimaryDep | 1 → 0 |
| 79722 | Ali, Sabina Ahmed | 20212005 | IsPrimaryDep | 0 → 1 |
| 153933 | Bergstrom, Anna L | 5309015 | IsPrimaryDep | 1 → 0 |
| 153933 | Bergstrom, Anna L | 5309030 | IsPrimaryDep | 0 → 1 |
| 028905123 | Biala, Bianca | 3202002 | Provider Name | Romana, Bianca → Biala, Bianca |
| 028905123 | Biala, Bianca | 3202015 | Provider Name | Romana, Bianca → Biala, Bianca |
| 023009327 | Charaschirakul, Lacie | 5201054 | IsPrimaryDep | 0 → 1 |
| 023009327 | Charaschirakul, Lacie | 5201119 | IsPrimaryDep | 1 → 0 |
| 118571 | Chen, Jennifer Y | 5201083 | IsPrimaryDep | 1 → 0 |
| 118571 | Chen, Jennifer Y | 5201561 | IsPrimaryDep | 0 → 1 |
| 109763 | Cil, Onur | 5201041 | IsPrimaryDep | 1 → 0 |
| 109763 | Cil, Onur | 5201177 | IsPrimaryDep | 0 → 1 |
| 125781 | Cobb-Walch, Abby Marie | 20206013 | IsPrimaryDep | 0 → 1 |
| 125781 | Cobb-Walch, Abby Marie | 5201531 | IsPrimaryDep | 1 → 0 |
| 027058585 | Cuaresma, Clarice | 7101004 | IsPrimaryDep | 0 → 1 |
| 027058585 | Cuaresma, Clarice | 7102004 | IsPrimaryDep | 1 → 0 |
| 144156 | Detore, Ashley | 5601008 | DEP Address | 1350 SOUTH ELISEO DR STE 230 → 1350 SOUTH ELISEO DR STE 300 |
| 91593 | Gill, Kanwaljit S. | 50100008 | IsPrimaryDep | 1 → 0 |
| 91593 | Gill, Kanwaljit S. | 9300003 | IsPrimaryDep | 0 → 1 |
| 026200212 | Guerra, Elizabeth | 20206016 | NPI | → 1386390284 |
| 026200212 | Guerra, Elizabeth | 20206016 | Provider Name | Guerra, Elizabeth A → Guerra, Elizabeth |
| 026200212 | Guerra, Elizabeth | 20206016 | Provider Gender | → Female |
| 026200212 | Guerra, Elizabeth | 20206016 | Title | → LCSW |
| 151938 | Harris, Olivia Mcvay | 2050006 | IsPrimaryDep | 1 → 0 |
| 151938 | Harris, Olivia Mcvay | 2050021 | IsPrimaryDep | 0 → 1 |
| 42978 | Holt, Elizabeth Hopkins | 2000082 | IsPrimaryDep | 0 → 1 |
| 42978 | Holt, Elizabeth Hopkins | 5201521 | IsPrimaryDep | 1 → 0 |
| 101912 | Jagodzinski, Jason Edward | 20206028 | IsPrimaryDep | 1 → 0 |
| 101912 | Jagodzinski, Jason Edward | 20243013 | IsPrimaryDep | 0 → 1 |
| 47397 | Kelley, Leah M | 5601008 | DEP Address | 1350 SOUTH ELISEO DR STE 230 → 1350 SOUTH ELISEO DR STE 300 |
| 65831 | Kim, Sunghoon | 20206036 | IsPrimaryDep | 1 → 0 |
| 65831 | Kim, Sunghoon | 20212024 | IsPrimaryDep | 0 → 1 |
| 47784 | Koliwad, Suneil Krishna | 1100030 | IsPrimaryDep | 1 → 0 |
| 47784 | Koliwad, Suneil Krishna | 1100035 | IsPrimaryDep | 0 → 1 |
| 150057 | Liodakis, Rachel Suzanne | 2050009 | IsPrimaryDep | 1 → 0 |
| 150057 | Liodakis, Rachel Suzanne | 2050020 | IsPrimaryDep | 0 → 1 |
| 145275 | Mann, Douglas G. | 7900000 | IsPrimaryDep | 0 → 1 |
| 145275 | Mann, Douglas G. | 7900003 | IsPrimaryDep | 1 → 0 |
| 48151 | Marcel, Claire Ogata | 20206019 | IsPrimaryDep | 0 → 1 |
| 48151 | Marcel, Claire Ogata | 5201070 | IsPrimaryDep | 1 → 0 |
| 149033 | Maroney, Sean | 5601018 | IsPrimaryDep | 1 → 0 |
| 149033 | Maroney, Sean | 5601034 | IsPrimaryDep | 0 → 1 |
| 132264 | Maxwell, Sarah Levkoff | 5201040 | IsPrimaryDep | 1 → 0 |
| 132264 | Maxwell, Sarah Levkoff | 5201142 | IsPrimaryDep | 0 → 1 |
| 146519 | Mccall, Abigail Elizabeth | 20207003 | Provider Name | Mccall, Abigail → Mccall, Abigail Elizabeth |
| 024116949 | Richman, Jessica | 5601008 | DEP Address | 1350 SOUTH ELISEO DR STE 230 → 1350 SOUTH ELISEO DR STE 300 |
| 027158237 | Roe, Kaitlin A | 1000086 | Provider Name | Roe, Kaitlin → Roe, Kaitlin A |
| 027158237 | Roe, Kaitlin A | 1000086 | Title | → SLP |
| 027158237 | Roe, Kaitlin A | 5309040 | Provider Name | Roe, Kaitlin → Roe, Kaitlin A |
| 027158237 | Roe, Kaitlin A | 5309040 | Title | → SLP |
| 97266 | Rubin, Jessica Beth | 5201083 | IsPrimaryDep | 0 → 1 |
| 97266 | Rubin, Jessica Beth | 5201465 | IsPrimaryDep | 1 → 0 |
| 024661886 | Sidhu, Gaganpreet | 20213001 | IsPrimaryDep | 1 → 0 |
| 024661886 | Sidhu, Gaganpreet | 20243014 | IsPrimaryDep | 0 → 1 |
| 50596 | Singer, Jonathan P. | 1100118 | IsPrimaryDep | 0 → 1 |
| 50596 | Singer, Jonathan P. | 9010346 | IsPrimaryDep | 1 → 0 |
| 029993078 | Steele, Erik Christopher | 2040014 | IsPrimaryDep | 0 → 1 |
| 029993078 | Steele, Erik Christopher | 5201241 | IsPrimaryDep | 1 → 0 |
| 109176 | Tobler, Diana L | 5601010 | IsPrimaryDep | 0 → 1 |
| 109176 | Tobler, Diana L | 5601023 | IsPrimaryDep | 1 → 0 |
| 124702 | Tummala, Sirisha Krishna | 50102002 | IsPrimaryDep | 1 → 0 |
| 124702 | Tummala, Sirisha Krishna | 9010184 | IsPrimaryDep | 0 → 1 |
| 127589 | Valdivia, Liza | 1090021 | IsPrimaryDep | 1 → 0 |
| 127589 | Valdivia, Liza | 1090022 | IsPrimaryDep | 0 → 1 |
| 141878 | Valle, Russell Pierce | 20206042 | IsPrimaryDep | 1 → 0 |
| 141878 | Valle, Russell Pierce | 20212043 | IsPrimaryDep | 0 → 1 |
| 103989 | Venado Estrada, Aida Adriana | 1100118 | IsPrimaryDep | 0 → 1 |
| 103989 | Venado Estrada, Aida Adriana | 1100148 | IsPrimaryDep | 1 → 0 |
| 108059 | Virbalas, Jordan Michael | 20206043 | IsPrimaryDep | 0 → 1 |
| 108059 | Virbalas, Jordan Michael | 20212004 | IsPrimaryDep | 1 → 0 |
| 80178 | Waung, Maggie Wai-Ming | 1100057 | IsPrimaryDep | 1 → 0 |
| 80178 | Waung, Maggie Wai-Ming | 5201414 | IsPrimaryDep | 0 → 1 |
| 158251 | Wilson, Jennifer | 1100030 | IsPrimaryDep | 1 → 0 |
| 158251 | Wilson, Jennifer | 1100038 | IsPrimaryDep | 0 → 1 |
| 021552187 | Wong, Stephanie Erin | 3010009 | IsPrimaryDep | 1 → 0 |
| 021552187 | Wong, Stephanie Erin | 9010159 | IsPrimaryDep | 0 → 1 |
| 158765 | Yadlapati, Snehaja Ramasita | 20206046 | IsPrimaryDep | 1 → 0 |
| 158765 | Yadlapati, Snehaja Ramasita | 5201042 | IsPrimaryDep | 0 → 1 |
| 131939 | Yang, Monica Mu | 1100068 | IsPrimaryDep | 1 → 0 |
| 131939 | Yang, Monica Mu | 5201092 | IsPrimaryDep | 0 → 1 |