Professional IDs Data

Axuall collects professional IDs on providers. This is all captured and stored in the Verified Share API for import into an organization's PDMP. Depending on the recipe configuration and provider type, any of the below data may be captured and stored in the JSON.

Mapping

Source	Data Label	Date Format	Definition	Clinician Type
State Connectors, FSMB	`verified.state_license.license_number`	String	The state medical license number of the practitioner	State Connectors - All, where supported FSMB - MD/DO/PA
State Connectors, FSMB	`verified.state_license.state`	String	The issuing state of the state medical license of the practitioner	State Connectors - All, where supported FSMB - MD/DO/PA
State Connectors, FSMB	`verified.state_license.initial_date`	Date	The initial date of the state medical license of the practitioner	State Connectors - All, where supported FSMB - MD/DO/PA
State Connectors, FSMB	`verified.state_license.expiration_date`	Date	The expiration date of the state medical license of the practitioner	State Connectors - All, where supported FSMB - MD/DO/PA
State Connectors, FSMB	`verified.state_license.board_actions`	Boolean	The presence of board actions of the state medical license of the practitioner	State Connectors - All, where supported FSMB - MD/DO/PA
State Connectors, FSMB	`verified.state_license.license_status`	String	The status of the state medical license of the practitioner	State Connectors - All, where supported FSMB - MD/DO/PA
State Connectors, FSMB	`verified.state_license.institution`	String	The state licensing institution	State Connectors - All, where supported FSMB - MD/DO/PA
State Connectors, FSMB	`verified.state_license.artifact`	URL	Expiring link to download evidence for a credential	State Connectors - All, where supported FSMB - MD/DO/PA
Subscriber	`external.state_license.file_name`	String	Stored custom name of document as defined by the subscriber group	N/A
Clinician	`attested.state_license.license_number`	String	State license number as attested to by the practitioner	All
Clinician	`attested.state_license.state`	String	State of license as attested to by the practitioner	All
Clinician	`attested.state_license.initial_date`	String	The initial date of the state medical license of the practitioner as supplied by FSMB.	All
Clinician	`attested.state_license.expiration_date`	String	The expiration date of the state medical license of the practitioner as supplied by FSMB.	All
Clinician	`attested.state_license.license_status`	String	The license status of the state medical license of the practitioner as supplied by FSMB.	All
Clinician	`attested.state_license.institution`	String	The licensing institution of the state medical license of the practitioner as supplied by FSMB or the provider.	All
DEA	`verified.dea.number`	String	The DEA number of the practitioner	As Applicable
DEA	`verified.dea.expiration_date`	Date	The expiration date of the DEA license of the practitioner	As Applicable
DEA	`verified.dea.payment_indicator`	String	The DEA payment indicator of registration of the practitioner	As Applicable
DEA	`verified.dea.drug_schedule`	String	The DEA drug schedule of the practitioner	As Applicable
DEA	`verified.dea.drug_schedule_formatted`	String	The DEA drug schedule formatted as a comma separated list of values	As Applicable
DEA	`verified.dea.activity`	String	The DEA activity of a practitioner	As Applicable
DEA	`verified.dea.patients_permitted`	String	The DEA patients permitted (DEA-X only) of the practitioner	As Applicable
DEA	`verified.dea.uin`	String	The DEA UIN (DEA-X only) of registration of the practitioner	As Applicable
DEA	`verified.dea.state`	String	The DEA state of registration of the practitioner	As Applicable
DEA	`verified.dea.address`	Object	The DEA address affiliated with the registration of the practitioner	As Applicable
DEA	`verified.dea.artifact`	URL	Expiring link to download evidence for a credential	As Applicable
Subscriber	verified.dea.external_file_name	String	Stored custom name of document as defined by the subscriber group	N/A
CDS	`verified.cds.number`	String	The Controlled Dangerous Substances license number	As Applicable
CDS	`verified.cds.expiration_date`	Date	The expiration date of the CDS license of the practitioner	As Applicable
CDS	`verified.cds.issue_date`	Date	The issue date of the CDS license of the practitioner	As Applicable
CDS	`verified.cds.state`	String	The issuing state of the CDS license of the practitioner	As Applicable
CDS	`verified.cds.artifact`	URL	Expiring link to download evidence for a credential	As Applicable
Subscriber	`verified.cds.external_file_name`	String	Stored custom name of document as defined by the subscriber group	N/A
Nursys	`verified.rn_license.number`	String	The state RN medical license number of the nurse	RN/NP/CRNA
Nursys	`verified.rn_license.state`	String	The issuing state of the RN medical license of the nurse	RN/NP/CRNA
Nursys	`verified.rn_license.initial_date`	Date	The issuing date of the state RN license of the nurse	RN/NP/CRNA
Nursys	`verified.rn_license.expiration_date`	Date	The expiration date of the State RN license of the nurse	RN/NP/CRNA
Nursys	`verified.rn_license.board_actions`	Boolean	The presence of board actions of the RN license of the nurse	RN/NP/CRNA
Nursys	`verified.rn_license.license_status`	String	The status of the State RN license of the nurse	RN/NP/CRNA
Nursys	`verified.rn_license.artifact`	URL	Expiring link to download evidence for a credential	RN/NP/CRNA
Subscriber	`verified.rn_license.external_file_name`	String	Stored custom name of document as defined by the subscriber group	N/A