{
  "x-source": {
    "spec": "openapi/aetna-provider-directory-api-openapi.yml",
    "operationId": "get_v1_providerdirectorydata_Practitioner_id",
    "path": "/v1/providerdirectorydata/Practitioner/{id}",
    "status": "200",
    "media_type": "application/json",
    "note": "Response example published verbatim by Aetna in its own Swagger document; extracted, not authored."
  },
  "example": {
    "identifier": [
      {
        "system": "http://hl7.org/fhir/sid/us-npi",
        "use": "official",
        "id": "NPI",
        "type": {
          "coding": [
            {
              "code": "NPI",
              "display": "National provider identifier"
            }
          ],
          "text": "NPI"
        },
        "value": "1619914108"
      },
      {
        "system": "https://terminology.hl7.org/CodeSystem-v2-0203",
        "type": {
          "coding": [
            {
              "code": "PRN",
              "system": "https://terminology.hl7.org/CodeSystem-v2-0203",
              "display": "Provider number"
            }
          ],
          "text": "Aetna Provider Identification Number"
        },
        "value": "7295007"
      }
    ],
    "qualification": [
      {
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "code": "MD",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "display": "Medical License number"
                }
              ],
              "text": "Medical License number"
            },
            "value": "FM2472811"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "valueCode": "active",
                "url": "status"
              },
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "MI",
                      "system": "https://www.usps.com/",
                      "display": "Michigan"
                    }
                  ],
                  "text": "Michigan"
                },
                "url": "whereValid"
              }
            ],
            "url": "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/practitioner-qualification"
          }
        ],
        "period": {
          "start": "2022-01-01",
          "end": "2023-12-31"
        },
        "code": {
          "coding": [
            {
              "code": "LIC",
              "system": "https://aetna.com/degreeLicenseCertificate",
              "display": "License"
            }
          ],
          "text": "License"
        }
      }
    ],
    "address": [
      {
        "country": "US",
        "extension": [
          {
            "extension": [
              {
                "valueDecimal": 30.209816,
                "url": "latitude"
              },
              {
                "valueDecimal": -90.933047,
                "url": "longitude"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/geolocation"
          }
        ],
        "city": "Gonzales",
        "line": [
          "2647 South St. Elizabeth Blvd., Suite 215"
        ],
        "district": "Ascension",
        "postalCode": "70737",
        "state": "LA",
        "text": "2647 South St. Elizabeth Blvd., Suite 215, Gonzales, Ascension, LA 70737, US"
      },
      {
        "country": "US",
        "extension": [
          {
            "extension": [
              {
                "valueDecimal": 30.401996,
                "url": "latitude"
              },
              {
                "valueDecimal": -91.106099,
                "url": "longitude"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/geolocation"
          }
        ],
        "city": "Baton Rouge",
        "line": [
          "7777 Hennessy Blvd., Suite 409"
        ],
        "district": "East Baton Rouge",
        "postalCode": "70808",
        "state": "LA",
        "text": "7777 Hennessy Blvd., Suite 409, Baton Rouge, East Baton Rouge, LA 70808, US"
      }
    ],
    "gender": "male",
    "meta": {
      "lastUpdated": "2023-02-17T09:01:12.203698+00:00",
      "versionId": "MTY3NjYyNDQ3MjIwMzY5ODAwMA",
      "profile": [
        "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Practitioner"
      ]
    },
    "name": [
      {
        "given": [
          "Kamal"
        ],
        "use": "official",
        "text": "Mubarak, Kamal Khan, MD",
        "family": "Mubarak",
        "suffix": [
          "MD"
        ]
      }
    ],
    "active": true,
    "language": "en",
    "telecom": [
      {
        "system": "phone",
        "rank": 1,
        "value": "2257655500"
      },
      {
        "system": "phone",
        "rank": 2,
        "value": "2257655864"
      },
      {
        "system": "fax",
        "rank": 3,
        "value": "2256444206"
      },
      {
        "system": "fax",
        "rank": 4,
        "value": "2257652013"
      }
    ],
    "id": "plannet-practitioner-d65cfe02cc6dce6cbd06bbf1a732b09a",
    "resourceType": "Practitioner"
  }
}