provider practice location
prvdr_prac_locDefinition
ISO-11179 Definition
The physical address and associated details of a healthcare provider service delivery site where patients receive clinical care. Providers may have multiple practice locations across different facilities, clinics, or service sites. Practice location data includes street address, city, state, ZIP code, phone number, and office hours for each site.
CMS NPPES allows providers to register multiple practice locations under their NPI. Network adequacy measurement is performed at the practice location level to ensure member access within defined distance and time standards. Healthcare data teams maintain provider practice location records as a separate entity from provider identity records, linking multiple locations to a single provider NPI, and use location data in network adequacy modeling, member-to-provider distance calculations, and provider directory display.
Standard Abbreviation
prvdr_prac_loc
Category
Production DDL — DIM_PROVIDER
CREATE OR REPLACE TABLE DIM_PROVIDER (
prvdr_key INTEGER NOT NULL -- surrogate key,
prvdr_npi VARCHAR(10) -- NPI number,
prvdr_tin VARCHAR(10) -- tax ID number,
prvdr_first_nm VARCHAR(100) -- first name,
prvdr_last_nm VARCHAR(100) -- last name,
prvdr_org_nm VARCHAR(255) -- organization name,
prvdr_typ_cd VARCHAR(20) -- provider type code,
prvdr_spclty_cd VARCHAR(10) -- specialty code,
prvdr_tax VARCHAR(10) -- taxonomy code,
prvdr_state_cd CHAR(2) -- state code,
prvdr_zip_cd VARCHAR(10) -- zip code,
prvdr_ntwk_sts VARCHAR(10) -- network status,
prvdr_accpt_pt_ind CHAR(1) -- accepting patients,
prvdr_excl_ind CHAR(1) -- exclusion indicator,
load_dt TIMESTAMP_NTZ NOT NULL -- load timestamp
);
Standard Snowflake DDL for the canonical provider table. Convert to BigQuery or Databricks →
Why This Term Matters
Provider data management is one of the most operationally complex data domains in healthcare because providers move, merge, and update their credentials continuously. A data engineer who understands provider terminology can build NPI validation, credentialing, and network adequacy pipelines that keep provider directories accurate and prevent claim rejections. Stale or incorrect provider data is a leading cause of prior authorization delays and CMS compliance findings.
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