Name | Description | Type | Additional information |
---|---|---|---|
Prefix | string |
String length: inclusive between 0 and 10 |
|
FirstName | string |
Required |
|
MiddleName | string |
String length: inclusive between 0 and 35 |
|
LastName | string |
Required |
|
Suffix | string |
String length: inclusive between 0 and 10 |
|
DateOfBirth | date |
Required |
|
string |
None. |
||
Address1 | string |
Required String length: inclusive between 0 and 35 |
|
Address2 | string |
String length: inclusive between 0 and 35 |
|
City | string |
Required |
|
State | string |
Required |
|
ZipCode | string |
Required |
|
PrimaryPhone | string |
Required |
|
PrimaryPhoneType | PhoneTypes |
None. |
|
PrimaryFax | string |
Required String length: inclusive between 0 and 25 |
|
PhoneAdditional1 | string |
String length: inclusive between 0 and 25 |
|
PhoneAdditionalType1 | PhoneTypes |
None. |
|
PhoneAdditional2 | string |
String length: inclusive between 0 and 25 |
|
PhoneAdditionalType2 | PhoneTypes |
None. |
|
PhoneAdditional3 | string |
String length: inclusive between 0 and 25 |
|
PhoneAdditionalType3 | PhoneTypes |
None. |
|
DEANumber | string |
Matching regular expression pattern: ^[A-Z][A-Z9][0-9]{7}(-[A-Z0-9]{1,7})?$ |
|
DEANumbers | Collection of DeaNumber |
None. |
|
NADEANumbers | Collection of NaDeaNumber |
None. |
|
MedicalLicenseNumbers | Collection of MedicalLicenseNumber |
None. |
|
NPINumber | string |
None. |
|
ClinicianRoleType | Collection of ClinicianRoleType |
Required |
|
EPCSRequested | boolean |
None. |
|
Active | boolean |
None. |
|
PDMPRoleType | PDMPRoleType |
None. |
|
ClinicianSpecialtyType | ClinicianSpecialtyType |
None. |