Individual provider Active NPI

Kali M Manley, RN

  • School Registered Nurse
  • Syracuse, NE
National Provider Identifier
1164040754
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
82097 Issued in NE
Practice address
550 7TH Street
Syracuse, NE 68446
Phone
(402) 269-2383
Fax
(402) 269-2224
NPI assigned
Jul 9, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
82097NEMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
School District 27 Otoe County CurrentSince Feb 24, 2022 Accepting new patients

Locations

550 7th St
Syracuse, NE 68446
Phone (402) 269-2382

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 82097 NE Primary

Addresses

NPPES NPI Registry

Primary practice location

550 7TH Street
Syracuse, NE 68446

Mailing address

PO Box P
Syracuse, NE 68446-0520
Phone (402) 269-2383

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
82097MedicaidNE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2020.

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1164040754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX P",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684460520",
            "telephone_number": "402-269-2383",
            "fax_number": "402-269-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 7TH STREET",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "68446",
            "telephone_number": "402-269-2383",
            "fax_number": "402-269-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "KALI",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NE",
            "license": "82097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82097",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.