
Provider First Line Business Mailing Address These credential designations will not be verified by NPS. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY.
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The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. The name prefix or salutation of the provider if the provider is an individual for example, Mr., Mrs., or Corporal. The middle name of the provider, if the provider is an individual. The first name of the provider, if the provider is an individual. A field cannot contain all special characters. (First and last names are required for initial applications.) The First, Middle, Last and Credential(s) fields allow the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. In addition, the date of birth must match that on file with SSA. This name must match the name on file with the Social Security Administration (SSA). If the provider is an individual, this is the legal name. The last name of the provider (if an individual).


A sole proprietor is the sole (the only) owner of a business that is not incorporated that unincorporated business is a sole proprietorship.Indicate whether provider is a sole proprietor. 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).1 = (Person): individual human being who furnishes health care.
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Full Replica of the CMS (NPPES) NPI Record Field Nameġ0-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.Ĭode describing the type of health care provider that is being assigned an NPI.
