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VA Training Provider Registration

Welcome to the registration page for the U.S. Department of Veterans Affairs (VA) required training on opioid safety.

To begin, complete the form below and then select “Verify”.

NPI-1 Number (Individual NPI Number )

Please enter your NPI-1 number

First Name

Please enter your first name

Middle Name

Last Name

Please enter your last name

VA Training Provider Registration Step 2

Please complete your registration below to ensure compliance with VA’s provider profile. This is your final step for registration.

All the fields marked with * are required.

Your certificate will be sent to the email address you list below.

Email *

Please enter a valid email address (E.g. '[email protected]')

Confirm Your Email *

Email address must match)

Password *

Password must be at least 6 characters in length with NO spaces and NO special characters and contain at least one lower case letter, one capital letter, and one number

Confirm Your Password *

Passwords must match

Phone Number *

Please enter your phone number

Street Address *

Please enter your street address

City *

Phoenix

State *

Please select your state

Country *

Please enter your country

Postal Code *

Please enter your postal code

Discipline *

Please enter your discipline

Organization Name *

Please enter your organizations name

Department/Division *

Please enter your department/division

Title *

Please enter your title

Primary Taxonomy Code

Primary Taxonomy Description

Secondary Taxonomy Code

Secondary Taxonomy Description

VA Training Provider Registration

Welcome to the registration page for the U.S. Department of Veterans Affairs (VA) required training on opioid safety. To begin, complete the form below and then select “Verify”.

VA Training Provider Registration Step 2

Please complete your registration below to ensure compliance with VA’s provider profile. This is your final step for registration.

All the fields marked with * are required. Your certificate will be sent to the email address you list below.

Welcome to the registration page for the U.S. Department of Veterans Affairs (VA) required training on opioid safety.

To begin, complete the form below and then select “Verify”.

All the fields marked with * are required.

Your certificate will be sent to the email address you list below.