Credentialing Source Directory Submissions

The Credentialing Source Directory provides thousands of listings to help medical staff professionals quickly and easily send credentialing verification requests. The directory includes contact information for more than 30 verification source types including schools, educational programs, hospital medical staff offices, and specialty boards.

If you'd like to contribute a record to the Directory, please fill out the boxes below, answer the simple math question (to help us prevent spam), then click Submit. Click any information button to learn more about that field. Required fields are marked with a red asterisk, but please fill in as much information as you can to help your colleagues.

Contact Information:

If your location is part of a larger system with a different name, please identify the system
If your location has undergone a name change, please indicate the previous name(s). If you have more than one, please separate the name by commas. (e.g. Name of Org, Name of Another Org)
Address
Please fill in the current, most direct telephone number for credential verification requests
Please fill in the current, most direct fax number for credential verification requests
Please provide the name of the person who should receive incoming credential verification requests
Please list the best email address for verification requests

Verification Information:

Please select the type that most closely matches your organization
Please provide additional details (e.g., we only verify MD degrees, we only verify AHP licenses) in the Instructions box below
In which format(s) do you accept verification requests?
In which format(s) do you accept verification requests?
FormatPreferredYesNo
Email
Via Website
Mail
Telephone
Fax
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
1 + 5 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.