Applicant details
| Name | Type | Required | Description |
|---|---|---|---|
| fid | string (format: digits, len: 9) | Yes | FID of practitioner. |
| application | Application | Yes | Application information. |
| fcvsProfileStatus | string (FcvsProfileStatus) | Yes | FCVS profile status. |
| fcvsProfile | FcvsProfileReport | No | FCVS profile information, if available. |
| uaStatus | string (UaStatus) | Yes | UA status. |
| uaSubmission | UaSubmission | No | UA submission information, if available. |
| identity | Identification | Yes | Identity information. |
| names | Names | Yes | Names |
| addresses | MailingAddresses | Yes | Mailing addresses. |
| emailAddresses | EmailAddresses | Yes | Email addresses. |
| phones | Phones | Yes | Phone numbers. |
| medicalEducation | MedicalEducationTraining | Yes | Medical education. |
| postGraduateTraining | PostGraduateTraining | No | Postgraduate training. |
| exams | Exam[] | No | Exams. |
| licenses | License[] | No | Licenses. |
| malpractice | Malpractice[] | No | Malpractice information. |
| activities | Activity[] | No | Chronology of activity. |
| npdbReportStatus | string (NpdbReportStatus) | Yes | NPDB report status. |
| npdbReport | NpdbReport | No | NPDB report, if available. |
| pdcReportStatus | string (len: 20) | Yes | Status of PDC report. Refer to ReportStatus for possible values. |
| pdc | PdcReport | No | PDC information, if available. |
| amaReportStatus | string (AmaReportStatus) | Yes | Status of AMA report. |
| ama | AmaReport | No | AMA information, if available. |
| stateAddendum | StateAddendum | No | Available only for boards using Docusign addendums. |
Note: Any fields marked as deprecated will be removed in a future version of the API. New code should not rely on these fields. Existing code should be updated to use alternative fields.
{
"fid": "999999915",
"application": {
"boardName": "Texas Medical Board",
"licenseType": "MD",
"licenseSubtypeDetails": {
"code": "FULL",
"description": "Permanent Medical License"
}
},
"identity": {
"ssn": "124561111",
"ssnLast4": "1111",
"isUSCitizen": "Y",
"birthDate": "1978-08-08T00:00:00",
"birthCity": "Houston",
"birthStateOrProvince": {
"code": "TX",
"description": "Texas",
"countryCode": "US",
"countryDescription": "United States"
},
"gender": "M"
},
"names": {
"legalName": {
"firstName": "Philip",
"middleName": "James",
"lastName": "Testman"
}
},
"addresses": {
"forPublic": {
"addressType": "Business",
"lines": [
"9665 Greenway Trail"
],
"city": "Portland",
"stateOrProvince": {
"code": "OR",
"description": "Oregon",
"countryCode": "US",
"countryDescription": "United States"
},
"postalCode": "89456"
},
"forBoard": {
"addressType": "Business",
"lines": [
"9665 Greenway Trail"
],
"city": "Portland",
"stateOrProvince": {
"code": "OR",
"description": "Oregon",
"countryCode": "US",
"countryDescription": "United States"
},
"postalCode": "89456"
},
"primary": {
"addressType": "Business",
"lines": [
"9665 Greenway Trail"
],
"city": "Portland",
"stateOrProvince": {
"code": "OR",
"description": "Oregon",
"countryCode": "US",
"countryDescription": "United States"
},
"postalCode": "89456"
}
},
"emailAddresses": {
"forPublic": {
"email": "[email protected]"
},
"forBoard": {
"email": "[email protected]"
},
"primary": {
"email": "[email protected]"
}
},
"phones": {
"forPublic": {
"phoneType": "Business",
"phoneNumber": "8524567856"
},
"forBoard": {
"phoneType": "Business",
"phoneNumber": "8524567856"
},
"primary": {
"phoneType": "Business",
"phoneNumber": "8524567856"
}
},
"medicalEducation": {
"isInternationalGraduate": false,
"graduating": {
"school": {
"name": "West Virginia University School of Medicine",
"cibisCode": "049030",
"schoolType": {
"code": "MD",
"description": "Doctor of Medicine"
},
"city": "Morgantown",
"stateOrProvince": {
"code": "WV",
"description": "West Virginia",
"countryCode": "US",
"countryDescription": "United States"
}
},
"beginDate": "2000-08-01T00:00:00",
"endDate": "2004-07-01T00:00:00",
"degree": {
"code": "DM",
"description": "Doctor of Medicine"
},
"graduationDate": "2004-08-20T00:00:00",
"unusualCircumstances": {
"hasInterruptions": false,
"hasProbation": false,
"hasInvestigation": false,
"hasBehavior": false,
"hasRequirements": false
}
}
},
"postGraduateTraining": {
"accreditedTraining": [
{
"accreditationType": "ACGME",
"programCode": "1102500201",
"program": {
"hospitalName": "Trinity Health Muskegon Program",
"affiliatedInstitution": "Trinity Health Muskegon",
"city": "Muskegon",
"stateOrProvince": {
"code": "MI",
"description": "Michigan",
"countryCode": "US",
"countryDescription": "United States"
}
},
"specialty": {
"description": "Emergency Medicine"
},
"programType": "Residency",
"trainingStatus": "Completed",
"beginDate": "2004-07-01T00:00:00",
"endDate": "2008-06-30T00:00:00",
"percentageClinical": 50,
"percentageAdministrative": 50,
"unusualCircumstances": {
"hasInterruptions": false,
"hasProbation": false,
"hasInvestigation": false,
"hasBehavior": false,
"hasRequirements": false
}
}
]
},
"exams": [
{
"examType": "USMLE Step 1",
"examDate": "2002-04-22T00:00:00",
"numberOfAttempts": 2,
"passFail": "Pass"
}
],
"licenses": [
{
"licenseType": "Administrative",
"licensingEntity": {
"code": "AL",
"description": "Alabama"
},
"status": "Active",
"licenseNumber": "TEST1111",
"issueDate": "2010-07-01T00:00:00",
"expirationDate": "2030-06-30T00:00:00"
},
{
"licenseType": "Full",
"licensingEntity": {
"code": "AZ",
"description": "Arizona"
},
"status": "General",
"licenseNumber": "TEST3333",
"issueDate": "2010-07-01T00:00:00",
"expirationDate": "2030-06-30T00:00:00"
},
{
"licenseType": "Full",
"licensingEntity": {
"code": "NH",
"description": "New Hampshire"
},
"status": "Active",
"licenseNumber": "TEST555",
"issueDate": "2004-07-01T00:00:00",
"expirationDate": "2030-06-30T00:00:00"
},
{
"licenseType": "Teaching",
"licensingEntity": {
"code": "AK",
"description": "Alaska"
},
"status": "Expired",
"licenseNumber": "TEST2222",
"issueDate": "2001-07-01T00:00:00",
"expirationDate": "2012-06-30T00:00:00"
}
],
"malpractice": [
{
"state": {
"code": "CO",
"description": "Colorado",
"countryCode": "US",
"countryDescription": "United States"
},
"eventDate": "2010-01-01T00:00:00",
"patientName": "Patient Smith",
"courtName": "County Court",
"role": "Primary Defendant",
"lawsuitDate": "2012-01-01T00:00:00",
"claimStatus": "Closed (Settled)",
"insuranceName": "InsuranceName",
"explanation": "Explanation"
}
],
"activities": [
{
"type": "Work",
"inProgress": false,
"beginDate": "2008-07-01T00:00:00",
"endDate": "2024-02-01T00:00:00",
"description": "Michigan Hospital",
"addressLines": [
"400 Main St"
],
"city": "Muskegon",
"stateOrProvince": {
"code": "MI",
"description": "Michigan",
"countryCode": "US",
"countryDescription": "United States"
},
"position": "ER Physician",
"department": "ER",
"wasEmployed": false,
"hadStaffPrivileges": false,
"wasAffiliated": false,
"percentageClinical": 51,
"percentageAdministrative": 49
}
]
}