Individual provider Active NPI

Keianne Mary Manalese

  • Registered Nurse
  • Livonia, MI
National Provider Identifier
1144165507
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704431805 Issued in MI
Practice address
28679 Bayberry CT E
Livonia, MI 48154-3869
Phone
(313) 920-6327
NPI assigned
Apr 22, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704431805 MI Primary

Addresses

Primary practice location

28679 Bayberry CT E
Livonia, MI 48154-3869

Mailing address

28679 Bayberry CT E
Livonia, MI 48154-3869

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

State licenses

LicenseStateTypeSpecialty
4704431805MIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1144165507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28679 BAYBERRY CT E",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28679 BAYBERRY CT E",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543869",
            "telephone_number": "313-920-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALESE",
        "first_name": "KEIANNE MARY",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704431805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.