NameDescriptionTypeAdditional 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

Email

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.