Healthcare Providers Enrich

Fills gaps in existing healthcare practitioner lists — adds missing phone numbers, credentials, specialties, contact info, education, reviews, and regulatory data. Triggers: "enrich my provider list", "fill in missing data", "add phone numbers to these doctors", "complete this practitioner database", "enrich CRM export", "fill gaps in my provider data", "supplement this healthcare list". Accepts CSV, Google Sheet URL, or pasted data. Searches for each provider's practice website, extracts missing fields, and enriches with reviews, clinical trials, and accreditation via WSAs. Do NOT use for extracting providers from practice URLs — use healthcare-providers-extract instead. Do NOT use for validating credentials — use healthcare-providers-verify instead. Do NOT use for discovering practices — use market-finder or local-places instead. Do NOT use for general extraction — use nimble-web-expert instead.

Classify discovered agents into phases and validate with nimble agent get per references/wsa-reference.md.

From the preflight results:

• CLI missing or API key unset -> references/profile-and-onboarding.md, stop
• Profile exists -> note it for context. Determine mode using smart date windowing from references/nimble-playbook.md:
  • Full mode: first run OR last run > 14 days ago
  • Quick refresh: last run < 14 days ago (re-enrich only records with gaps)
  • Same-day repeat: if last_runs.healthcare-providers-enrich is today, check for existing report at ~/.nimble/memory/reports/healthcare-providers-enrich-*[today].md. If found, ask: "Already ran today. Run again for fresh data?"
• No profile -> that's fine. This skill doesn't require onboarding. Proceed to Step 1.

Step 1: Parse Input + Starting Questions

Chained-from-extract shortcut: Check for a same-day extract report:

ls ~/.nimble/memory/reports/healthcare-providers-extract-*$(date +%Y-%m-%d).md 2>/dev/null

If a same-day report exists, parse the {slug} from the filename and load ~/.nimble/memory/healthcare-providers-extract/{slug}/providers.json. The practice domains and page URL patterns are already known — construct individual bio page URLs from the site's URL convention and skip Step 3 entirely. This avoids N unnecessary web searches. If no same-day report exists, do not reuse old providers.json files.

Parse $ARGUMENTS for input type using the Input Parsing Pattern from references/nimble-playbook.md. Key routing:

• Extract output detected (providers.json) -> proceed to Step 2, mark Step 3 skip
• CSV/Sheet/pasted data detected -> proceed to Step 2
• Unclear -> ask (counts as 1 of max 2 prompts)

If input is clear, confirm and ask one shaping question (plain text, not AskUserQuestion):

"Found N providers in your list. Quick questions:

1. Which fields need filling? (contact info, credentials, specialty, reviews, regulatory — or all gaps)
2. Healthcare vertical? (ophthalmology, dental, dermatology, general, or other)"

If input is ambiguous, use AskUserQuestion (counts as 1 of max 2 prompts):

What provider list should I enrich?

• Paste provider data directly (name + any known info, one per line)
• Provide a CSV file path or Google Sheet URL
• Or describe what you have (e.g., "a list of 50 ophthalmologists with just names and states")

Skip questions the user already answered in their initial message.

Step 2: Analyze Existing Data

Parse the input into structured records. For each provider, identify:

• Known fields — what the user already has (name, state, specialty, etc.)
• Missing fields — gaps against the 5 core fields from references/provider-extraction-patterns.md (name, credentials, specialty, contact, education)
• Enrichment targets — additional fields the user requested (reviews, regulatory, accreditation)

Early exit — no gaps: If all providers are already High confidence (5/5 fields), skip to Step 5 (WSA enrichment) or report: "All providers already have complete profiles. Want me to add supplementary data (reviews, clinical trials, accreditation) instead?"

Build a gap analysis summary:

"Analyzing N providers:

• Names: N/N present
• Credentials: N/N present (N missing)
• Specialty: N/N present (N missing)
• Contact info: N/N present (N missing)
• Education: N/N present (N missing)

Starting enrichment for N providers with gaps..."

Run Layer 2 WSA discovery now that you know the specialty:

nimble agent list --limit 50 --search "[specialty]"
nimble agent list --limit 50 --search "[directory-user-mentioned]"

See references/wsa-reference.md for session-specific discovery.

Step 3: Web Search for Provider Identity

For each provider with gaps, find their practice website and bio page:

nimble search --query "[provider name] [credentials] [location] [specialty]" --max-results 5 --search-depth lite

Search strategy:

• Include all known fields in the query to disambiguate common names
• Prioritize results from practice websites over directory listings
• If the provider has a known practice name, add it to the query
• For providers with only name + state, broaden: "[name] [state] doctor"

Result selection: Pick the most relevant result — practice bio page > healthcare directory profile > LinkedIn. Save the selected URL for extraction.

For 10+ providers, use sub-agents (see Sub-Agent Strategy below).

Checkpoint (mandatory): You MUST write the checkpoint file before proceeding. Interrupted runs with 20+ providers waste significant API credits without resume.

echo '{...}' > ~/.nimble/memory/healthcare-providers-enrich/checkpoints/{slug}/search.json

Step 4: Extract Missing Fields

Choose extraction strategy based on provider count. Follow the Scaled Execution pattern from references/nimble-playbook.md — it covers individual calls (1-10), extract-batch (11-100), and the confirmation gate for larger jobs. Use the Page Extraction with Retry pattern from the same reference for garbage detection and retry logic.

Parse extracted content for missing fields using the detection patterns from references/provider-extraction-patterns.md (credential regex, specialty keywords, contact patterns, education mentions).

Merge rules:

• Only fill fields that are actually missing — never overwrite existing data
• Track which fields were added and their source URL
• If extracted data conflicts with existing data, keep the existing value and flag the conflict for user review

Checkpoint (mandatory): You MUST write the checkpoint file before proceeding.

echo '{...}' > ~/.nimble/memory/healthcare-providers-enrich/checkpoints/{slug}/extraction.json

Step 5: WSA Enrichment (Optional)

If the user requested reviews, regulatory data, or accreditation — or if the gap analysis shows most core fields are already filled and enrichment adds more value:

Run enrichment-phase WSAs discovered in Step 0. See references/wsa-reference.md for the enrichment phase mapping, agent evaluation, and fallback chains.

For each practice or provider, run relevant enrichment agents simultaneously. Follow the Scaled Execution pattern from references/nimble-playbook.md for batching.

Merge enrichment data into provider records:

• Reviews/ratings -> add as supplementary fields (not part of core 5)
• Clinical trial activity -> add as supplementary field
• Accreditation status -> add as supplementary field

Step 6: Deduplication & Confidence Scoring

Follow the Entity Deduplication and Entity Confidence Scoring patterns from references/nimble-playbook.md. Skill-specific dedup rules and the 5-field confidence criteria are in references/provider-extraction-patterns.md.

Enrichment-specific confidence: Score only the newly added fields:

• High — field found and confirmed by 2+ sources
• Medium — field found from 1 source
• Low — field inferred or partially matched

Step 7: Output

Present results as an enrichment diff — showing what was added to each provider. Group by practice, sort by confidence within each group, and include a "What This Means" section at the end with actionable next steps.

# Provider Enrichment: [N] Providers Updated
*[Date] | [A] fields added across [P] providers | [H] High, [M] Medium, [L] Low confidence*

## TL;DR
Enriched [P] of [T] providers. Added [A] total fields: [breakdown by field type].
[Key finding: e.g., "Found contact info for 18 of 20 providers, 3 have clinical trials"].

## Enrichment Results

| # | Name | Added Fields | Confidence | Source |
|---|------|-------------|------------|--------|
| 1 | Dr. Jane Smith | +credentials (MD, FACS), +contact ((555) 123-4567) | High | [source](url) |
| 2 | Dr. John Doe | +specialty (General Ophthalmology), +education (Wills Eye) | Medium | [source](url) |
| 3 | Dr. Alex Chen | +contact ((555) 987-6543) | Low | [source](url) |

## Detailed Records

### Dr. Jane Smith
**Existing:** Name, State (TX)
**Added:**
- Credentials: MD, FACS — [source](url)
- Contact: (555) 123-4567 — [source](url)
- Education: Fellowship, Bascom Palmer Eye Institute — [source](url)
**Confidence:** High (3 fields added, 2 sources)

[Repeat per provider with additions]

## Providers Not Enriched
[List providers where no additional data was found, with attempted searches]

## Data Quality Summary
- **Fully enriched (5/5 fields):** [N] providers
- **Partially enriched:** [N] providers — common gaps: [list]
- **No new data found:** [N] providers

## Sources
[Clickable URL for every page used, grouped by provider]

## What This Means
[Actionable interpretation: which providers are ready to contact, which need more
data, what the enrichment coverage tells you about this list's quality]

Source links are mandatory. Every added field must trace back to a source URL.

Step 8: Save to Memory

Make all Write calls simultaneously:

• Report -> ~/.nimble/memory/reports/healthcare-providers-enrich-{slug}-{date}.md
• Enriched data -> ~/.nimble/memory/healthcare-providers-enrich/{slug}/enriched.json
• Profile -> update last_runs.healthcare-providers-enrich in ~/.nimble/business-profile.json (only if profile exists)
• Follow the wiki update pattern from references/memory-and-distribution.md: update index.md rows for all affected entity files, append a log.md entry for this run.
• Clean up checkpoint (complete run) or keep (partial run)

Step 9: Share & Distribute

Always offer distribution — do not skip. Follow references/memory-and-distribution.md for connector detection and sharing flow.

Notion: full enrichment report as a dated subpage. Slack: TL;DR with enrichment summary and field counts only.

Step 10: Follow-ups

• "Tell me more about Dr. X" -> show full enriched profile
• "Export as CSV" -> generate CSV with original + enriched fields
• "Enrich more fields" -> re-run with expanded field targets
• "Which providers still have gaps?" -> filter to incomplete records

Sibling skill suggestions:

Next steps:

• Run healthcare-providers-verify to validate the enriched credentials and license status
• Run healthcare-providers-extract to discover more providers from practice websites
• Run market-finder to find additional practices in this area

Sub-Agent Strategy

For batch enrichment (10+ providers), use nimble-researcher agents (agents/nimble-researcher.md) to parallelize search and extraction.

Follow the sub-agent spawning rules from references/nimble-playbook.md (bypassPermissions, batch max 4, explicit Bash instruction, fallback on failure).

Spawn pattern: One agent per batch of 5 providers. Each agent runs Steps 3-4 for its assigned providers and returns enriched records. Tell each agent to use nimble extract-batch for its assigned URLs rather than individual nimble extract calls — one batch call per agent is faster and more reliable than sequential calls.

Small batch optimization: If fewer than 10 providers, run directly from the main context instead of spawning agents.

Fallback: If any agent fails, run those enrichments directly from the main context. Never leave gaps in the output.

Error Handling

See references/nimble-playbook.md for the standard error table (missing API key, 429, 401, empty results, extraction garbage). Skill-specific errors:

• No search results for provider: "Couldn't find a web presence for [name] in [state]. The name may be too common or the provider may not have an online presence. Want me to try with additional context (practice name, specialty)?"
• Ambiguous provider match: "Found multiple providers named [name] in [state]. Can you confirm which one? [list top 3 with practice names]"
• All extractions returned garbage: "The provider websites appear to be heavily JavaScript-rendered. Retrying with browser rendering..." (auto-retry with --render per the shared pattern)
• CSV/Sheet parse error: "Couldn't parse the input file. Expected columns with provider names and at least one identifier (state, specialty, or practice). Can you paste the data directly instead?"
• No gaps detected: Handled in Step 2 (early exit to WSA enrichment or report).