Go to MIS
#20 Clinical Dictionary Menu
#30 Clinical Dictionaries P-Z
#10 Enter/Edit P-Z Clinical Dictionaries
#20 Provider
Enter First 3 characters of last name and first two of first name. If already in use then extend the first name to 3 characters etc.
Abstract Service is their Primary Taxonomy on the NPI registry. See below for example. When you get to this field you can select F9 for options.
Direct Address will be listed on the NPI registry under Health Information Exchange
F12 when complete