. 2020 Sep 9;14(1):214–229. doi: 10.1007/s40617-020-00451-w

Table 1.

National Provider Identifier (NPI) Application Fields

1. Provider Profile

a. Provider Name Information

i. Name (Prefix, First*, Middle, Last*, Suffix)

ii. Credentials

iii. Other Name (if applicable)

iv. Type of Other Name (if applicable)

b. Other Identifying Information

i. Date of Birth* +

ii. TIN Type (e.g., SSN)* +

iii. Tax Identification Number (TIN)* +

iv. Birth Location (state/country)* +

v. Gender*

vi. Is the Provider a Sole Proprietor?*

vii. Ethnicity (optional) +

viii. Race (optional) +

ix. Primary Language Spoken +

x. Secondary Language(s) +

2. Address

a. Business Mailing Address (correspondence address)

b. Practice Location (only one required)

3. Other Identifiers

a. Issuer (e.g., Medicaid, other)

b. Identification Number

c. State Issued

d. Endpoint

4. Taxonomy

a. Choose Taxonomy Filter

b. Choose Taxonomy*

c. Classification Name/Specialization*

d. License Number

e. State Issued

5. Contact Information

a. Contact Type

b. Name (Prefix, First*, Middle, Last*, Suffix)

c. Credential(s)

d. Title/Position

e. Telephone Number*

f. Contact Person E-mail*

*Required fields

+ Fields that are not publicly available