| 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. |