Individual provider Active NPI

Sarah Mansur, RN

  • Registered Nurse
  • Broken Arrow, OK
National Provider Identifier
1962117663
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0126289 Issued in OK
Practice address
221 W Commercial St
Broken Arrow, OK 74012-4014
Phone
(918) 876-7483
NPI assigned
Jan 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 0126289 OK
Registered Nurse 163W00000X 0126289 OK Primary

Addresses

Primary practice location

221 W Commercial St
Broken Arrow, OK 74012-4014

Mailing address

221 W Commercial St
Broken Arrow, OK 74012-4014
Phone (918) 876-7483

Other practice location 1

109 W Commercial St
Broken Arrow, OK 74012-4012
Phone (918) 876-7483

Other identifiers 1

IdentifierTypeStateIssuer
0126289OtherOKRN LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL sarah.mansur@icloud.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0126289OKMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1962117663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W COMMERCIAL ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124014",
            "telephone_number": "918-876-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W COMMERCIAL ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124014",
            "telephone_number": "918-876-7483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 W Commercial St",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740124012",
            "country_code": "US",
            "telephone_number": "918-876-7483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSUR",
        "first_name": "SARAH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OK",
            "license": "0126289",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "0126289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "0126289",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sarah.mansur@icloud.com",
            "affiliation": "N",
            "endpointDescription": "ICloud Business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "221 W Commercial St",
            "city": "Broken Arrow",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740124014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.