Provider Reference

The Provider Reference feature allows the user to create a new provider record in the system and view the list of all the providers for a specific practice.

As noted in the Providers documentation, an individual provider may have multiple provider IDs (as defined by a unique NPI) in athenaNet. This typically occurs when the provider practices across multiple departments. We combined these multiple provider IDs into a single canonical ID to use for processing API calls, even if one of the provider’s other IDs is submitted. Partners only need to refer to a provider using their canonical ID that can be found via the GET /providers and GET /providers/{providerid} API.

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Endpoints

Get list of all providers
GET
/v1/{practiceid}/providers

Retrieve a list of all providers available in a specific practice

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Input Parameters

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❙ required

practiceid integer practiceid
showusualdepartmentguessthreshold number There are situations where determining where a provider "normally" practices is desired. Unfortuantely, there is no such concept in athenaNet since providers often practice in multiple locations. However, we can use some intelligence to determine this by looking back over the previous few months (90 days) to see actual practice. To enable this, set this value between 0 and 1; it is highly recommended to be at least .5. This is the ratio of appointments in a given department to the total number of appointments for that provider. A value of .5 means "the provider's appointments are 50% in the department guessed." Setting this to 1 would only return a department if ALL of the provider's appointments were in one department.
name string
showallproviderids string In athenaNet's internal data structures, a single provider can be represented by multiple IDs. These IDs are used in certain external messages (e.g. HL7) and thus these IDs may need to be known by the API user as well. When set to true, a list of all of these ancillary IDs will be provided.
providertype string The provider type to filter the results on. Valid provider type values can be found by using GET /reference/providertypes.
limit integer Number of entries to return (default 1500, max 5000)
offset integer Starting point of entries; 0-indexed

Output Parameters

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acceptingnewpatientsyn string Indicates whether the provider is accepting new patients. This field is currently only for informational purposes, and does not drive any athenaNet functionality.
ansinamecode string This is the ANSI name with ANSI code for this provider's specialty.
ansispecialtycode string This is the ANSI code for this provider's specialty.
billable string Indicates if this is a billable provider.
createencounteroncheckinyn string If true, appointments scheduled with this provider will create an encounter when the appointment is checked in for encounter supported appointment types. Only applies to the primary providerid. If the provider has other IDs with the same API, please use 'showallproviderids' to see which IDs create encounters.
createencounterprovideridlist string A list of provider IDs for this provider NPI that will create an encounter when the appointment is checked in for encounter supported appointment types. Only populated if 'showallproviderids' is set.
displayname string The preferred name to use when displaying this provider.
entitytype string Either "Person" or "Non-Person" (e.g. X-Ray machines)
federalidnumber string The federal ID number for provider, if SHOWFEDERALIDNUMBER is set.
firstname string The provider's first name.
hideinportalyn string If set, this provider does not appear in athenaCommunicator's web portal.
homedepartment string For certain purposes, this can be considered to be the "home" or default department for a provider.
lastname string The provider's last name.
npi integer The NPI for this provider, if available.
otherprovideridlist string When showallproviderids is set to true, a list of all other athenaNet providers IDs that may refer to this same provider. If not present with showallproviderids, there are no other IDs other than the primary ID.
personalpronouns string The preferred personal pronouns of this provider.
providergrouplist string When showallproviderids is set to true, a list of all provider groups that this provider is registered in. Data is only relevant if a practice is using Provider-Group-Based Data Permissions in their practice.
providerid integer The ID to be used for this provider. Note that in athenaNet, an individual provider (as defined by a unique NPI) may have multiple provider IDs. For the API, we have collapsed these to a single canonical ID.
providertype string There is a long potential list of provider type in the form "full name (id)", but "MD", "NP" or "NP S" (Nurse Practitioner (Supervising)), "RES" (resident), "EQUIP", "DO", "PA" or "PASUP" (Physician's Assistant (Supervising)), "TECH", "RN", LPT", "CRNA" or "CRNASUP" (Certified Registered Nurse Anesthesiologist (Supervising)), and MA (Medical Assistant) are among the most common.
providertypeid string This is just the ID (a text string) such as "NP" or "NP S" for the provider type.
providerusername string The username of the provider.
scheduleresourcetype string Name of the scheduling resource type tied to the provider.
schedulingname string The scheduling name for this provider (as used in athenaNet).
sex string The sex of this provider.
specialty string A friendly name for this provider's specialty.
specialtyid integer The ID of the provider's specialty.
supervisingproviderid integer The ID of the supervising provider.
supervisingproviderusername string The username of the supervising provider.
usualdepartmentid integer The "usual" department for this provider, if SHOWUSUALDEPARTMENTGUESSTHRESHOLD is set.
Example Code
Add new provider
POST
/v1/{practiceid}/providers

BETA: Create a new record of provider in the system

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Input Parameters

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❙ required

practiceid integer practiceid
Content-Type string Content type of the payload

❙ Request Body

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acceptingnewpatients string Indicates whether the provider is accepting new patients. This field is currently only for informational purposes, and does not drive any athenaNet functionality.
alternatephone string The phone number of the provider.
ansicode string The provider taxonomy code of the provider.
billable string This provider is a supervising provider and is credentialed to bill for services.
billednamecase string The billing name of the provider.
communicatordisplayname string The communicator display name for the provider.
communicatorhomedepartment integer The communicator home department for the provider.
crdreferring string This provider is a Coordinator referring provider.
createencounteroncheckin string Automatically create encounters at check-in.
directaddress string The direct email address for the provider.
entitytypeid integer The entity type of provider. 1 = person, 2 = non-person
firstname string The first name of the provider.
hideinportal string Hide this provider in the Patient Portal.
lastname string The last name of the provider.
medicalgroupid integer The medical group of the provider.
middleinitial string The middle name of the provider.
namesuffix string The suffix of the provider.
ndctatnumber string The NDC TAT number for this provider.
npinumber integer The NPI of the provider.
personalpronounsid integer The personal pronouns ID of the provider. See GET /personalpronouns for a mapping of ID to personal pronouns displaytext.
practiceroleid integer The practice role ID for the provider.
providergroupid integer The provider group of the provider.
providerprofileid string The provider profile of the provider (integer or 'NEW')
providertype string The abbreviation for the provider type of the provider. (e.g., MD, NP). See GET /reference/providertypes for a mapping of abbreviation to provider type.
reportingname string The reporting name for the provider.
scheduleresourcetypeid integer The scheduling resource type id of the provider.
schedulingname string The scheduling name of the provider.
schedulingnote string The scheduling note for the provider.
sex string The sex of the provider (M or F)
signatureonfileflag string This provider's signature is on file.
specialtyid string The specialty ID of the provider. See GET /reference/providerspecialties for a mapping of ID to specialty name.
ssn integer The SSN of the provider.
staffbucket string Create a staff bucket for this provider.
supervisingproviderid integer The supervising provider ID for this provider.
supervisingprovidertype string If set to self,set supervisingprovider to itself.
trackmissingslips string This provider renders services that should be tracked on the Missing Slips Worklist.
username string The username for the provider.

Output Parameters

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alertmessage string Alert message if the operation did not work.
errorreason string Error message if the operation did not work.
providerid integer The ID to be used for this provider. Note that in athenaNet, an individual provider (as defined by a unique NPI) may have multiple provider IDs. For the API, we have collapsed these to a single canonical ID. For updates and deletes, this will be either 1 or -1 depending on success or failure.
Example Code
Get the mapping of personal pronouns id to display name.
GET
/v1/{practiceid}/personalpronouns

Get the mapping of personal pronouns id to display name. Note: This endpoint may rely on specific settings to be enabled in athenaNet Production to function properly that are not required in other environments. Please see <a href="https://docs.athenahealth.com/api/resources/best-practices-and-troubles… Rollout of APIs</a> for more information if you are experiencing issues.

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Input Parameters

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❙ required

practiceid integer practiceid

Output Parameters

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personalpronounsdisplaytext string
personalpronounsid integer
Example Code