PATCH a Provider Reference

Time	Status	User Agent
Retrieving recent requests…

first_name

string

length between 1 and 255

last_name

string

length between 1 and 255

profession

string

enum

in CAQH, this is labeled as the 'Provider Type' of the reference

DO - Do - Doctor Of Osteopathic Medicine
MD - Md - Medical Doctor
PA - Pa - Physician Assistant
RN - Rn - Registered Nurse
NP - Np - Nurse Practitioner
CNM - Cnm - Certified Nurse Midwife
PMHNP - Pmhnp - Psychiatric Mental Health Nurse Practitioner
RNFA - Rnfa - Registered Nurse First Assistant
ACSW - Acsw - Associate Clinical Social Worker
APCC - Apcc - Associate Professional Clinical Counselor
BCBA - Bcba - Board Certified Behavior Analyst
BCBAD - Bcba-D - Board Certified Behavior Analyst - Doctoral
BCaBA - Bcaba - Board Certified Assistant Behavior Analyst
BHA - Bha - Behavioral Health Assessor
BHARI - Bhari - Behavioral Health Assessor Registered Intern
COUNSELOR - Counselor
OD - Od - Optometrist
DPM - Dpm - Doctor Of Podiatric Medicine
DA - Da - Dental Assistant
DDS - Dds - Doctor Of Dental Surgery
DEH - Deh - Dental Hygienist
DMD - Dmd - Doctor Of Dental Medicine
DPT - Dpt - Doctor Of Physical Therapy
PT - Pt - Physical Therapist
PTA - Pta - Physical Therapy Assistant
PBT - Pbt - Phlebotomist
LC - Lc - Lactation Consultant
LCADC - Lcadc - Licensed Clinical Alcohol And Drug Counselor
MLADC - Mladc - Master Licensed Alcohol And Drug Counselor
LADC - Ladc - Licensed Alcohol And Drug Counselor
CCS - Ccs - Certified Clinical Supervisor
LCAS - Lcas - Licensed Clinical Addiction Specialist
LCAT - Lcat - Licensed Creative Arts Therapist
LCMHC - Lcmhc - Licensed Clinical Mental Health Counselor
LCMHC-S - Lcmhc-S - Licensed Clinical Mental Health Counselor-Supervisor
LCMHCA - Lcmhca - Licensed Clinical Mental Health Counselor Associate
LCPC - Lcpc - Licensed Clinical Professional Counselor
LCSW - Lcsw - Licensed Clinical Social Worker
LCSW-R - Lcsw-R - Licensed Clinical Social Worker R Privilege
LSW - Lsw - Licensed Social Worker
LCSWA - Lcswa - Licensed Clinical Social Worker Associate
LICSW - Licsw - Licensed Independent Clinical Social Worker
LIMHP-CSW - Limhp-Csw - Licensed Independent Mental Health Practitioner-Certified Social Worker
LIMHP-CMSW - Limhp-Cmsw - Licensed Independent Mental Health Practitioner-Certified Master Social Worker
LIMHP - Limhp - Licensed Independent Mental Health Practitioner
LISW - Lisw - Licensed Independent Social Worker
LMFT - Lmft - Licensed Marriage And Family Therapist
LMFT-S - Lmft-S - Licensed Marriage And Family Therapist-Supervisor
LMFTA - Lmfta - Licensed Marriage And Family Therapist Associate
LMHC - Lmhc - Licensed Mental Health Counselor
LMSW - Lmsw - Licensed Master Social Worker
LPC - Lpc - Licensed Professional Counselor
LPC-C - Lpc-C - Licensed Professional Counselor-Candidate
LPCA - Lpca - Licensed Professional Counselor Associate
LPCC - Lpcc - Licensed Professional Clinical Counselor
LPCI - Lpci - Licensed Professional Counselor Intern
LSCSW - Lscsw - Licensed Specialist Clinical Social Worker
MFTA - Mfta - Marriage And Family Therapist Associate
MHCA - Mhca - Mental Health Counselor Associate
MHT - Mht - Mental Health Technician
OMS - Oms - Oral Surgeon
ORTH - Orth - Orthodontist
OT - Ot - Occupational Therapist
OTA - Ota - Occupational Therapy Assistant
OTHER - Other
RD - Rd - Registered Dietitian
RPh - Rph - Pharmacist
PhT - Pht - Pharmacy Technician
PhD - Phd - Psychologist
PsyD - Psyd - Doctor Of Psychology
RBT - Rbt - Registered Behavior Technician
RCSWI - Rcswi - Registered Clinical Social Worker Intern
RHMCI - Rhmci - Registered Mental Health Counselor Intern
SLP - Slp - Speech Language Pathologist
LPN - Lpn - Licensed Practical Nurse
LAc - Lac - Licensed Acupuncturist
LMT - Lmt - Licensed Massage Therapist
DC - Dc - Chiropractor
ND - Nd - Naturopathic Doctor
MA - Ma - Medical Assistant
LPCMH - Lpcmh - Licensed Professional Counselor Of Mental Health
LIMHP-CPC - Limhp-Cpc - Licensed Mental Health Practitioner
LPC-MH - Lpc-Mh - Licensed Professional Counselor - Mental Health
LPC/MHSP - Lpc/Mhsp - Licensed Professional Counselor - Mental Health Service Provider
CMHC - Cmhc - Clinical Mental Health Counselor
ALC - Alc - Associate Licensed Counselor
LAC - Lac - Licensed Associate Counselor
LACMH - Lacmh - Licensed Associate Counselor Of Mental Health
LAPC - Lapc - Associate Licensed Professional Counselor
ACMHC - Acmhc - Associate Clinical Mental Health Counselor
LMHCA - Lmhca - Licensed Mental Health Counselor Associate
LGPC - Lgpc - Licensed Graduate Professional Counselor
CSW - Csw - Certified Social Worker
LCSW-C - Lcsw-C - Licensed Certified Social Worker-Clinical
ISW - Isw - Independent Social Worker
LISW-CP - Lisw-Cp - Licensed Independent Social Worker-Clinical Practice
CSW-PIP - Csw-Pip - Certified Social Worker Private Independent Practice
CISW - Cisw - Certified Independent Social Worker
MLSW - Mlsw - Master'S Level Social Worker
CMSW - Cmsw - Certified Master Social Worker
LGSW - Lgsw - Licensed Graduate Social Worker
LASW - Lasw - Licensed Advanced Social Worker
APSW - Apsw - Advanced Practice Social Worker
RT - Rt - Respiratory Therapist
AUD - Aud - Audiologist
CRNA - Crna - Certified Registered Nurse Anesthetist
OPTHAMOLOGIST - Opthamologist
OPA - Opa - Osteopathic Physician Assistant
CP-A - Cp-A - Clinical Pharmacist, Advanced
AT - Athletic Trainer
FITNESS-PROFESSI - Fitness Professional
EMR - Emr - Emergency Medical Responder
EMT - Emt - Emergency Medical Technician
EMT-A - Emt-A - Emergency Medical Technician Advanced
LVN - Lvn - Licensed Vocational Nurse
MLT - Mlt - Medical Laboratory Technician
NMT - Nmt - Nuclear Medicine Technologist
LN - Ln - Nutritionist
OPT - Opt - Optician
OTHER-ALLIED-HEA - Other - Allied Health
PAR - Par - Paramedic
PHARMACY-ASSISTA - Pharmacy Assistant
PI - Pi - Pharmacy Intern
PODIATRIC-ASSIST - Podiatric Assistant
RADIOLOGY-TECH - Radiology Technician
ACU - Acu - Acupuncturist
DT - Dt - Dietician
MOT - Mot - Master Of Occupational Therapy
MPT - Mpt - Master Of Physical Therapy
MT - Mt - Massage Therapist
OTD - Otd - Doctor Of Occupational Therapy
OTR/L - Otr/L - Occupational Therapist Registered Licensed
RDN - Rdn - Registered Dietitian Nutritionist
SLP-CF - Slp-Cf - Speech Language Pathologist - Clinical Fellow
SLPD - Slpd - Doctor Of Speech-Language Pathology
ATC - Atc - Athletic Trainer Certified
COTA - Cota - Certified Occupational Therapy Assistant
LMPC - Lmpc - Licensed Massage Practitioner Certified
ORT - Ort - Orthotist
SLPA - Slpa - Speech-Language Pathology Assistant
MT-BC - Mt-Bc - Music Therapy Board Certification
CCP - Ccp - Perfusionist
CST - Cst - Surgical Technologist/Assistant
CFA - Cfa - Surgical Technologist/Assistant
OPF - Opf - Orthotics/Prosthetics Fitter
SA - Sa - Surgical Technologist/Assistant
BSC - Bsc - Behavioral Specialist Consultant
RESCOUN - Rescoun - Resident In Counseling
RESMFT - Resmft - Resident In Marriage And Family Therapy
SCSW - Scsw - Supervisee In Clinical Social Work
LLMSW - Llmsw - Limited Licensed Master’S Social Worker
LSWA - Lswa - Licensed Social Worker Associate
RMFTI - Rmfti - Registered Marriage And Family Therapy Intern
LSW-C - Lsw-C - Licensed Social Work Candidate
APC - Apc - Associate Professional Counselor
LLC - Llc - Limited Licensed Counselor
AA - Aa - Anesthesiologist Assistant
APN - Apn - Advanced Practice Nurse
CAADC - Caadc - Certified Advanced Addiction & Drug Counselor
CADAC - Cadac - Certified Alcohol And Drug Addiction Consultant
CAS - Cas - Certified Addiction Specialist
CAT - Cat - Certified Addiction Therapist
CDCA - Cdca - Chemical Dependency Counselor Assistant
CMT - Cmt - Certified Medication Technician
CNS - Cns - Clinical Nurse Specialist
CP - Cp - Certified Prosthetist
GC - Gc - Genetic Counselor
LCDC - Lcdc - Licensed Chemical Dependency Counselor
LIAC - Liac - Licensed Independent Addiction Counselor
LISAC - Lisac - Licensed Independent Substance Abuse Counselor
LMAC - Lmac - Licensed Master Addiction Counselor
SAC-IT - Sac-It - Substance Abuse Counselor In Training
RxP - Rxp - Prescribing Psychologist
DOULA - Doula
CNIM - Cnim - Certified Neurophysiologic Intraoperative Monitoring
Ed.D - Ed.D - Doctor Of Education
SWT - Swt - Social Work Trainee
IMFT - Imft - Independent Marriage And Family Therapist
CT - Ct - Counselor Trainee
MFT - Mft - Marriage And Family Therapist
LICDC - Licdc - Licensed Independent Chemical Dependency Counselor

specialty

string | null

enum

acupuncture - Acupuncture
addiction - Addiction (Substance Use Disorder)
adolescent_medicine - Adolescent Medicine
applied_behavior_analyst - Applied Behavior Analyst
adult_intensivist - Adult Intensivist
allergy - Allergy
anesthesia - Anesthesia
athletic_training - Athletic Training
audiology - Audiology
bariatric_medicine_surgery - Bariatric Medicine/Surgery
blood_banking_transfusion_medicine - Blood Banking/Transfusion Medicine
brain_injury_medicine - Brain Injury Medicine
burn_trauma - Burn/Trauma
cardiac_catheterization - Cardiac Catheterization
cardiology - Cardiology
cardiovascular_surgery - Cardiovascular Surgery
clinical - Clinical
clinical_biochemical_genetics - Clinical Biochemical Genetics
clinical_cardiac_electrophysiology - Clinical Cardiac Electrophysiology
clinical_genetics_and_genomics_md - Clinical Genetics And Genomics (Md)
colon_and_rectal_surgery - Colon And Rectal Surgery
colorectal_surgery - Colorectal Surgery
complex_family_planning - Complex Family Planning
complex_pediatric_otolaryngology - Complex Pediatric Otolaryngology
congenital_cardiac_surgery - Congenital Cardiac Surgery
consultation_liaison_psychiatry - Consultation - Liaison Psychiatry
dermatology - Dermatology
dermatopathology - Dermatopathology
diagnostic_radiology - Diagnostic Radiology
dietary_&_nutrition - Dietary And Nutrition
electrophysiology - Electrophysiology
emergency_medicine - Emergency Medicine
endocrinology - Endocrinology
family_practice - Family Practice
gastroenterology - Gastroenterology
general_practice - General Practice
general_surgery - General Surgery
geriatrics - Geriatrics
gynecologic_oncology - Gynecologic Oncology
health_care_administration_leadership_and_management - Health Care Administration, Leadership, And Management
hematology_oncology - Hematology/Oncology
hepatobiliary - Hepatobiliary
histology_technician - Histology Technician
hospitalist - Hospitalist
infectious_disease - Infectious Disease
internal_medicine - Internal Medicine
internal_medicine_critical_care_medicine - Internal Medicine - Critical Care Medicine
interventional_radiology - Interventional Radiology
interventional_radiology_and_diagnostic_radiology - Interventional Radiology And Diagnostic Radiology
laboratory_genetics_and_genomics - Laboratory Genetics And Genomics
massage_therapy - Massage Therapy
maternal_fetal_medicine - Maternal - Fetal Medicine
medical_biochemical_genetics - Medical Biochemical Genetics
medical_genetics - Medical Genetics
medical_physics_diagnostic_nuclear_therapeutic - Medical Physics (Diagnostic, Nuclear, Therapeutic)
medical_toxicology - Medical Toxicology
mohs_micrographic_surgery - Mohs-Micrographic Surgery
mental_health - Mental Health
molecular_genetic_pathology - Molecular Genetic Pathology
neonatology - Neonatology
nephrology - Nephrology
neurodevelopmental_disabilities - Neurodevelopmental Disabilities
neurological_surgery - Neurological Surgery
neurology_with_special_qualification_in_child_neurology - Neurology With Special Qualification In Child Neurology
neuroradiology - Neuroradiology
neurology - Neurology
neurosurgery - Neurosurgery
neurotology - Neurotology
nuclear_medicine - Nuclear Medicine
obstetrics_&_gynecology - Obstetrics & Gynecology
occupational_and_environmental_medicine - Occupational And Environmental Medicine
occupational_medicine - Occupational Medicine
occupational_therapy - Occupational Therapy
ophthalmology - Ophthalmology
optometry - Optometry
oral_surgery - Oral Surgery
orthopedics - Orthopedics
orthopedic_manual_physical_therapy - Orthopedic Manual Physical Therapy
orthopaedic_sports_medicine - Orthopaedic Sports Medicine
orthotics_&_prosthetics - Orthotics & Prosthetics
otolaryngology___head_&_neck_surgery - Otolaryngology / Head & Neck Surgery
pain_management - Pain Management
palliative_care - Palliative Care
pastoral - Pastoral
pathology_chemical - Pathology - Chemical
pathology_clinical - Pathology: Clinical
pathology_anatomic - Pathology: Anatomic
pathology_forensic - Pathology - Forensic
pathology_medical_microbiology - Pathology - Medical Microbiology
pathology_molecular_genetic - Pathology - Molecular Genetic
pathology_pediatric - Pathology - Pediatric
pathology_specialist_technologist - Pathology Specialist/Technologist
pediatric_intensivist - Pediatric Intensivist
pediatrics - Pediatrics
pediatric_hospital_medicine - Pediatric Hospital Medicine
pediatric_surgery - Pediatric Surgery
physical_medicine - Physical Medicine
physical_medicine_&_rehabilitation - Physical Medicine & Rehabilitation
physical_therapy - Physical Therapy
physician_assistant - Physician Assistant
plastic_surgery_within_the_head_and_neck - Plastic Surgery Within The Head And Neck
plastic_&_reconstructive_surgery - Plastic & Reconstructive Surgery
professional - Professional
podiatric_surgery - Podiatric Surgery
pulmonary_disease - Pulmonary Disease
psychiatry - Psychiatry
pulmonary_medicine - Pulmonary Medicine
radiation_oncology - Radiation Oncology
radiology - Radiology
registered_dietitian - Registered Dietitian
reproductive_endocrinology_and_infertility - Reproductive Endocrinology And Infertility
rheumatology - Rheumatology
school - School
speech_language_pathology - Speech-Language Pathology
spinal_cord_injury_medicine - Spinal Cord Injury Medicine
sports_medicine - Sports Medicine
surgery_of_the_hand - Surgery Of The Hand
surgical_oncology - Surgical Oncology
thoracic_surgery - Thoracic Surgery
transplant_surgery - Transplant Surgery
undersea_and_hyperbaric_medicine - Undersea And Hyperbaric Medicine
urogynecology_and_reconstructive_pelvic_surgery - Urogynecology And Reconstructive Pelvic Surgery
urology - Urology
vascular_surgery - Vascular Surgery
wound_care - Wound Care

phone

string

length ≤ 255

fax

string

length ≤ 255

email

string | null

association_start_date

date | null

association_end_date

date | null

is_association_present

boolean | null

Indicates if the relationship is ongoing. When True, association_end_date is not required.

relationship

string

enum

EMPLOYER - Employer
PEER - Peer
SUPERVISOR - Supervisor
PROGRAM_DIRECTOR - Program Director

Allowed:

relationship_text

string | null

institution

string

length ≤ 255

document

uuid | null

country

string | null

enum

US - United States
AF - Afghanistan
AX - Åland Islands
AL - Albania
DZ - Algeria
AS - American Samoa
AD - Andorra
AO - Angola
AI - Anguilla
AQ - Antarctica
AG - Antigua And Barbuda
AR - Argentina
AM - Armenia
AW - Aruba
AU - Australia
AT - Austria
AZ - Azerbaijan
BS - Bahamas
BH - Bahrain
BD - Bangladesh
BB - Barbados
BY - Belarus
BE - Belgium
BZ - Belize
BJ - Benin
BM - Bermuda
BT - Bhutan
BO - Bolivia
BQ - Bonaire, Sint Eustatius And Saba
BA - Bosnia And Herzegovina
BW - Botswana
BV - Bouvet Island
BR - Brazil
IO - British Indian Ocean Territory
BN - Brunei
BG - Bulgaria
BF - Burkina Faso
BI - Burundi
KH - Cambodia
CM - Cameroon
CA - Canada
CV - Cape Verde
KY - Cayman Islands
CF - Central African Republic
TD - Chad
CL - Chile
CN - China
CX - Christmas Island
CC - Cocos (Keeling) Islands
CO - Colombia
KM - Comoros
CG - Congo
CD - Congo, The Democratic Republic Of The
CK - Cook Islands
CR - Costa Rica
CI - Côte D'Ivoire
HR - Croatia
CU - Cuba
CW - Curaçao
CY - Cyprus
CZ - Czech Republic
DK - Denmark
DJ - Djibouti
DM - Dominica
DO - Dominican Republic
EC - Ecuador
EG - Egypt
SV - El Salvador
GQ - Equatorial Guinea
ER - Eritrea
EE - Estonia
ET - Ethiopia
FK - Falkland Islands (Malvinas)
FO - Faroe Islands
FJ - Fiji
FI - Finland
FR - France
GF - French Guiana
PF - French Polynesia
TF - French Southern Territories
GA - Gabon
GM - Gambia
GE - Georgia
DE - Germany
GH - Ghana
GI - Gibraltar
GR - Greece
GL - Greenland
GD - Grenada
GP - Guadeloupe
GU - Guam
GT - Guatemala
GG - Guernsey
GN - Guinea
GW - Guinea-Bissau
GY - Guyana
HT - Haiti
HM - Heard Island And Mcdonald Islands
VA - Vatican City
HN - Honduras
HK - Hong Kong
HU - Hungary
IS - Iceland
IN - India
ID - Indonesia
IR - Iran
IQ - Iraq
IE - Ireland
IM - Isle Of Man
IL - Israel
IT - Italy
JM - Jamaica
JP - Japan
JE - Jersey
JO - Jordan
KZ - Kazakhstan
KE - Kenya
KI - Kiribati
KP - Democratic People'S Republic Of Korea
KR - South Korea
KW - Kuwait
KG - Kyrgyzstan
LA - Laos
LV - Latvia
LB - Lebanon
LS - Lesotho
LR - Liberia
LY - Libya
LI - Liechtenstein
LT - Lithuania
LU - Luxembourg
MO - Macao
MK - Macedonia
MG - Madagascar
MW - Malawi
MY - Malaysia
MV - Maldives
ML - Mali
MT - Malta
MH - Marshall Islands
MQ - Martinique
MR - Mauritania
MU - Mauritius
YT - Mayotte
MX - Mexico
FM - Federated States Of Micronesia
MD - Moldova
MC - Monaco
MN - Mongolia
ME - Montenegro
MS - Montserrat
MA - Morocco
MZ - Mozambique
MM - Myanmar
NA - Namibia
NR - Nauru
NP - Nepal
NL - Netherlands
NC - New Caledonia
NZ - New Zealand
NI - Nicaragua
NE - Niger
NG - Nigeria
NU - Niue
NF - Norfolk Island
MP - Northern Mariana Islands
NO - Norway
other - Other (Not Listed)
OM - Oman
PK - Pakistan
PW - Palau
PS - Palestine
PA - Panama
PG - Papua New Guinea
PY - Paraguay
PE - Peru
PH - Philippines
PN - Pitcairn
PL - Poland
PT - Portugal
PR - Puerto Rico
QA - Qatar
RE - Réunion
RO - Romania
RU - Russia
RW - Rwanda
BL - Saint Barthélemy
SH - Saint Helena, Ascension And Tristan Da Cunha
KN - Saint Kitts And Nevis
LC - Saint Lucia
MF - Saint Martin (French Part)
PM - Saint Pierre And Miquelon
VC - Saint Vincent And The Grenadines
WS - Samoa
SM - San Marino
ST - Sao Tome And Principe
SA - Saudi Arabia
SN - Senegal
RS - Serbia
SC - Seychelles
SL - Sierra Leone
SG - Singapore
SX - Sint Maarten (Dutch Part)
SK - Slovakia
SI - Slovenia
SB - Solomon Islands
SO - Somalia
ZA - South Africa
GS - South Georgia And The South Sandwich Islands
SS - South Sudan
ES - Spain
LK - Sri Lanka
SD - Sudan
SR - Suriname
SJ - Svalbard And Jan Mayen
SZ - Swaziland
SE - Sweden
CH - Switzerland
SY - Syria
TW - Taiwan
TJ - Tajikistan
TZ - Tanzania
TH - Thailand
TL - Timor-Leste
TG - Togo
TK - Tokelau
TO - Tonga
TT - Trinidad And Tobago
TN - Tunisia
TR - Turkey
TM - Turkmenistan
TC - Turks And Caicos Islands
TV - Tuvalu
UG - Uganda
UA - Ukraine
AE - United Arab Emirates
GB - United Kingdom
UM - United States Minor Outlying Islands
UY - Uruguay
UZ - Uzbekistan
VU - Vanuatu
VE - Venezuela
VN - Vietnam
VG - Virgin Islands, British
VI - Virgin Islands, U.S.
WF - Wallis And Futuna
EH - Western Sahara
YE - Yemen
ZM - Zambia
ZW - Zimbabwe

city

string

length ≤ 255

line_1

string

length ≤ 255

line_2

string

length ≤ 255

postal_code

string

length ≤ 255

address_state

string | null

province

string

length ≤ 255

200