Organization Active NPI

Holly Mansur, FNP

  • Clinic/Center
  • Abilene, TX
National Provider Identifier
1477366607
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HOLLY MANSUR, FNP
Practice address
3202 S Willis St
Abilene, TX 79605-6650
Phone
(325) 695-3233
NPI assigned
Jan 30, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Holly Mansur, FNPNPI 1982113874
Title
Owner/FNP
Phone
(325) 695-3233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250722002375 TX Part B Supplier - Clinic/Group Practice 8628584141 Receives reassigned benefits from 1 practitioner
Practice locations: Abilene, TX

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3202 S Willis St
Abilene, TX 79605-6650

Mailing address

4525 Crosley LN
Abilene, TX 79606-4933
Phone (858) 784-1711

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 21, 2025.

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1477366607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 CROSLEY LN",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796064933",
            "telephone_number": "858-784-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 S WILLIS ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796056650",
            "telephone_number": "325-695-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY MANSUR, FNP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "MANSUR",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER/FNP",
        "authorized_official_telephone_number": "325-695-3233",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.