Reltio NPI HCP Attributes Source Mapping
Learn about how attributes are mapped with the corresponding HCP header specified in the NPI source file.
Each Reltio NPI HCP attribute is mapped with the corresponding HCP header specified in the NPI source file.
| HCP Headers in NPI Source File | Reltio NPI HCP Attributes | Attribute Mapping Type/Rule | Cleanse Functions | Comments |
|---|---|---|---|---|
| NPI | Crosswalk | |||
| Entity_Type_Code | N/A | If Entity_Type_Code=1 then record is HCP | ||
| Replacement_NPI | N/A | |||
| Employer_Identification_Number__EIN | N/A | |||
| Provider_Organization_Name__Legal_Business_Name | N/A | |||
| Provider_Last_Name_Legal_Name | LastName | Direct | hcpNameCleanse | |
| Provider_First_Name | FirstName | Direct | hcpNameCleanse | |
| Provider_Middle_Name | MiddleName | Direct | hcpNameCleanse | |
| Provider_Name_Prefix_Text | Prefix | Direct | toTitleCase | |
| Provider_Name_Suffix_Text | SuffixName | Direct | toTitleCase | |
| Provider_Credential_Text | Credentials | cleansedCredential | Provider_Credential_Text+","+Provider_Other_Credential_Text | |
| Provider_Other_Organization_Name | N/A | |||
| Provider_Other_Organization_Name_Type_Code | N/A | |||
| Provider_Other_Last_Name | AlternateName.LastName | Direct | hcpNameCleanse | |
| Provider_Other_First_Name | AlternateName.FirstName | Direct | hcpNameCleanse | |
| Provider_Other_Middle_Name | AlternateName.MiddleName | Direct | hcpNameCleanse | |
| Provider_Other_Name_Prefix_Text | AlternateName.Prefix | Direct | toTitleCase | |
| Provider_Other_Name_Suffix_Text | AlternateName.SuffixName | Direct | toTitleCase | |
| Provider_Other_Credential_Text | AlternateName.Credential | cleansedCredential | Provider_Credential_Text+","+Provider_Other_Credential_Text | |
| Provider_Other_Last_Name_Type_Code | AlternateName.NameTypeCode | Direct | ||
| AlternateName.NameTypeDescription | NameTypeDescription | |||
| Address.AddressType= Mailing | Hard-coded | |||
| Provider_First_Line_Business_Mailing_Address | Address.AddressLine1 | Direct | ||
| Provider_Second_Line_Business_Mailing_Address | Address.AddressLine2 | Direct | ||
| Provider_Business_Mailing_Address_City_Name | Address.City | Direct | ||
| Provider_Business_Mailing_Address_State_Name | Address.StateProvince | Direct | ||
| Address.Country=United States | Hard-coded | |||
| Provider_Business_Mailing_Address_Postal_Code | Address.zip.zip5/zip4 |
If Length=9, zip5= First 5 digits & zip4=Last 4 digits If Length=5, zip5= All 5 digits |
||
| Provider_Business_Mailing_Address_Country_Code__If_outside_U_S | N/A | |||
| Phone.Type="Business" | Hard-coded | |||
| Provider_Business_Mailing_Address_Telephone_Number | Phone.Number | Direct | phoneCleanser | |
| Phone.Type="Fax" | Hard-coded | |||
| Provider_Business_Mailing_Address_Fax_Number | Phone.Number | Direct | phoneCleanser | |
| Address.AddressType = Business | Hard-coded | |||
| Provider_First_Line_Business_Practice_Location_Address | Address.AddressLine1 | Direct | ||
| Provider_Second_Line_Business_Practice_Location_Address | Address.AddressLine2 | Direct | ||
| Provider_Business_Practice_Location_Address_City_Name | Address.City | Direct | ||
| Provider_Business_Practice_Location_Address_State_Name | Address.StateProvince | Direct | ||
| Address.Country=United States | Hard-coded | |||
| Provider_Business_Practice_Location_Address_Postal_Code | Address.zip.zip5/zip4 |
If Length=9, zip5= First 5 digits & zip4=Last 4 digits If Length=5, zip5= All 5 digits |
||
| Provider_Business_Practice_Location_Address_Country_Code__If_outside_U_S | N/A | |||
| Phone.Type="Business" | Hard-coded | |||
| Provider_Business_Practice_Location_Address_Telephone_Number | Phone.Number | Direct | phoneCleanser | |
| Phone.Type="Fax" | Hard-coded | |||
| Provider_Business_Practice_Location_Address_Fax_Number | Phone.Number | Direct | phoneCleanser | |
| Provider_Enumeration_Date | Identifier.CreateDate | Direct | ||
| Last_Update_Date | Identifier.LastupdateDate | Direct | ||
| NPI_Deactivation_Reason_Code | Identifier.DeactivationReasonCode | Direct | ||
| NPI_Deactivation_Date | Identifier.DeactivationDate | Direct | ||
| NPI_Reactivation_Date | Identifier.ReactivationDate | Direct | ||
| Provider_Gender_Code | Gender | Direct | ||
| Authorized_Official_Last_Name | N/A | |||
| Authorized_Official_First_Name | N/A | |||
| Authorized_Official_Middle_Name | N/A | |||
| Authorized_Official_Title_or_Position | N/A | |||
| Authorized_Official_Telephone_Number | N/A | |||
| Healthcare_Provider_Taxonomy_Code_1 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_1 | License.Number | Direct | ||
| Provider_License_Number_State_Code_1 | License.State/Taxonomy.StateCode | Direct | ||
| License.DQScore | DQScore | |||
| Healthcare_Provider_Primary_Taxonomy_Switch_1 | Taxonomy.Type | Direct | ||
| Taxonomy.StateCode | Load from Provider_License_Number_State_Code_1 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_2 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_2 | License.Number | Direct | ||
| Provider_License_Number_State_Code_2 | License.State/Taxonomy.StateCode | Direct | ||
| License.DQScore | DQScore | |||
| Healthcare_Provider_Primary_Taxonomy_Switch_2 | Taxonomy.Type | Direct | ||
| Taxonomy.StateCode | Load from Provider_License_Number_State_Code_2 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_3 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_3 | License.Number | Direct | ||
| Provider_License_Number_State_Code_3 | License.State/Taxonomy.StateCode | Direct | ||
| License.DQScore | DQScore | |||
| Healthcare_Provider_Primary_Taxonomy_Switch_3 | Taxonomy.Type | Direct | ||
| Taxonomy.StateCode | Load from Provider_License_Number_State_Code_3 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_4 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_4 | License.Number | Direct | ||
| Provider_License_Number_State_Code_4 | License.State/Taxonomy.StateCode | Direct | ||
| License.DQScore | DQScore | |||
| Healthcare_Provider_Primary_Taxonomy_Switch_4 | Taxonomy.Type | Direct | ||
| Taxonomy.StateCode | Load from Provider_License_Number_State_Code_4 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_5 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_5 | License.Number | Direct | ||
| Provider_License_Number_State_Code_5 | License.State/Taxonomy.StateCode | Direct | ||
| License.DQScore | DQScore | |||
| Healthcare_Provider_Primary_Taxonomy_Switch_5 | Taxonomy.Type | Direct | ||
| Taxonomy.StateCode | Load from Provider_License_Number_State_Code_5 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_6 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_6 | License.Number | Direct | ||
| Provider_License_Number_State_Code_6 | License.State/Taxonomy.StateCode | Direct | ||
| License.DQScore | DQScore | |||
| Healthcare_Provider_Primary_Taxonomy_Switch_6 | Taxonomy.Type | Direct | ||
| Taxonomy.StateCode | Load from Provider_License_Number_State_Code_6 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_7 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_7 | License.Number | Direct | ||
| Provider_License_Number_State_Code_7 | License.State/Taxonomy.StateCode | Direct | ||
| License.DQScore | DQScore | |||
| Healthcare_Provider_Primary_Taxonomy_Switch_7 | Taxonomy.Type | Direct | ||
| Taxonomy.StateCode | Load from Provider_License_Number_State_Code_7 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_8 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_8 | License.Number | Direct | ||
| Provider_License_Number_State_Code_8 | License.State/Taxonomy.StateCode | Direct | ||
| License.DQScore | DQScore | |||
| Healthcare_Provider_Primary_Taxonomy_Switch_8 | Taxonomy.Type | Direct | ||
| Taxonomy.StateCode | Load from Provider_License_Number_State_Code_8 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_9 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_9 | License.Number | Direct | ||
| Provider_License_Number_State_Code_9 | License.State/Taxonomy.StateCode | Direct | ||
| License.DQScore | DQScore | |||
| Healthcare_Provider_Primary_Taxonomy_Switch_9 | Taxonomy.Type | Direct | ||
| Taxonomy.StateCode | Load from Provider_License_Number_State_Code_9 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_10 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_10 | License.Number | Direct | ||
| Provider_License_Number_State_Code_10 | License.State/Taxonomy.StateCode | Direct | ||
| License.DQScore | DQScore | |||
| Healthcare_Provider_Primary_Taxonomy_Switch_10 | Taxonomy.Type | Direct | ||
| Taxonomy.StateCode | Load from Provider_License_Number_State_Code_10 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_11 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_11 | License.Number | Direct | ||
| Provider_License_Number_State_Code_11 | License.State/Taxonomy.StateCode | Direct | ||
| License.DQScore | DQScore | |||
| Healthcare_Provider_Primary_Taxonomy_Switch_11 | Taxonomy.Type | Direct | ||
| Taxonomy.StateCode | Load from Provider_License_Number_State_Code_11 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_12 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_12 | License.Number | Direct | ||
| Provider_License_Number_State_Code_12 | License.State/Taxonomy.StateCode | Direct | ||
| License.DQScore | DQScore | |||
| Healthcare_Provider_Primary_Taxonomy_Switch_12 | Taxonomy.Type | Direct | ||
| Taxonomy.StateCode | Load from Provider_License_Number_State_Code_12 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_13 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_13 | License.Number | Direct | ||
| Provider_License_Number_State_Code_13 | License.State/Taxonomy.StateCode | Direct | ||
| License.DQScore | DQScore | |||
| Healthcare_Provider_Primary_Taxonomy_Switch_13 | Taxonomy.Type | Direct | ||
| Taxonomy.StateCode | Load from Provider_License_Number_State_Code_13 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_14 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_14 | License.Number | Direct | ||
| Provider_License_Number_State_Code_14 | License.State/Taxonomy.StateCode | Direct | ||
| License.DQScore | DQScore | |||
| Healthcare_Provider_Primary_Taxonomy_Switch_14 | Taxonomy.Type | Direct | ||
| Taxonomy.StateCode | Load from Provider_License_Number_State_Code_14 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Healthcare_Provider_Taxonomy_Code_15 | Taxonomy.Taxonomy | Direct | ||
| Provider_License_Number_15 | License.Number | Direct | ||
| Provider_License_Number_State_Code_15 | License.State/Taxonomy.StateCode | Direct | ||
| License.DQScore | DQScore | |||
| Healthcare_Provider_Primary_Taxonomy_Switch_15 | Taxonomy.Type | Direct | ||
| Taxonomy.StateCode | Load from Provider_License_Number_State_Code_15 | |||
| Taxonomy.ProviderType | Lookup from Taxonomy Provider Type | |||
| Taxonomy.Classification | Lookup from Taxonomy Classification | |||
| Taxonomy.Specialization | Lookup from Taxonomy Specialization | |||
| Other_Provider_Identifier_1 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_1 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_1 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_1 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_2 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_2 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_2 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_2 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_3 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_3 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_3 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_3 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_4 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_4 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_4 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_4 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_5 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_5 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_5 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_5 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_6 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_6 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_6 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_6 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_7 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_7 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_7 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_7 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_8 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_8 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_8 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_8 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_9 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_9 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_9 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_9 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_10 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_10 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_10 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_10 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_11 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_11 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_11 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_11 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_12 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_12 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_12 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_12 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_13 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_13 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_13 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_13 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_14 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_14 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_14 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_14 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_15 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_15 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_15 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_15 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_16 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_16 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_16 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_16 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_17 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_17 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_17 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_17 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_18 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_18 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_18 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_18 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_19 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_19 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_19 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_19 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_20 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_20 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_20 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_20 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_21 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_21 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_21 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_21 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_22 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_22 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_22 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_22 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_23 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_23 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_23 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_23 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_24 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_24 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_24 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_24 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_25 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_25 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_25 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_25 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_26 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_26 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_26 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_26 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_27 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_27 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_27 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_27 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_28 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_28 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_28 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_28 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_29 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_29 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_29 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Issuer_29 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_30 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_30 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_30 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_30 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_31 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_31 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_31 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_31 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_32 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_32 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_32 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_32 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_33 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_33 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_33 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_33 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_34 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_34 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_34 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_34 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_35 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_Type_Code_35 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_35 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_35 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_36 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_36 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_36 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_36 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_37 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_37 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_37 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_37 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_38 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_38 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_38 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_38 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_39 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_39 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_39 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_39 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_40 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_40 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_40 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_40 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_41 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_41 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_41 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_41 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_42 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_42 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_42 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_42 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_43 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_43 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_43 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_43 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_44 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_44 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_44 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_44 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_45 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_45 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_45 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_45 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_46 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_46 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_46 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_46 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_47 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_47 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_47 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_47 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_48 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_48 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_48 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_48 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_49 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_49 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_49 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_49 | Identifier.Issuer | Direct | ||
| Other_Provider_Identifier_50 | Identifier.ID | Direct | ||
| Other_Provider_Identifier_Type_Code_50 | Identifier.Type | Direct | ||
| Other_Provider_Identifier_State_50 | Identifier.State | Direct | ||
| Other_Provider_Identifier_Issuer_50 | Identifier.Issuer | Direct | ||
| Is_Sole_Proprietor | Solo | Direct | Y=True, N=False & X= " " | |
| Is_Organization_Subpart | N/A | |||
| Parent_Organization_LBN | N/A | |||
| Parent_Organization_TIN | N/A | |||
| Authorized_Official_Name_Prefix_Text | N/A | |||
| Authorized_Official_Name_Suffix_Text | N/A | |||
| Authorized_Official_Credential_Text | N/A | |||
| Healthcare_Provider_Taxonomy_Group_1 | N/A | |||
| Healthcare_Provider_Taxonomy_Group_2 | N/A | |||
| Healthcare_Provider_Taxonomy_Group_3 | N/A | |||
| Healthcare_Provider_Taxonomy_Group_4 | N/A | |||
| Healthcare_Provider_Taxonomy_Group_5 | N/A | |||
| Healthcare_Provider_Taxonomy_Group_6 | N/A | |||
| Healthcare_Provider_Taxonomy_Group_7 | N/A | |||
| Healthcare_Provider_Taxonomy_Group_8 | N/A | |||
| Healthcare_Provider_Taxonomy_Group_9 | N/A | |||
| Healthcare_Provider_Taxonomy_Group_10 | N/A | |||
| Healthcare_Provider_Taxonomy_Group_11 | N/A | |||
| Healthcare_Provider_Taxonomy_Group_12 | N/A | |||
| Healthcare_Provider_Taxonomy_Group_13 | N/A | |||
| Healthcare_Provider_Taxonomy_Group_14 | N/A | |||
| Healthcare_Provider_Taxonomy_Group_15 | N/A |