Organization Active NPI

Khalanis Kure Inc

  • Primary Care Nurse Practitioner
  • Windsor Mill, MD
National Provider Identifier
1063298008
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
KHALANIS KURE INC
Practice address
1718 Belmont Ave Ste D
Windsor Mill, MD 21244-2552
Phone
(617) 943-0892
NPI assigned
Sep 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Imani V Bryan, FNP, CRNP, PMHNPNPI 1982489639
Title
Nurse Practitioner
Phone
(617) 943-0892

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

1718 Belmont Ave Ste D
Windsor Mill, MD 21244-2552

Mailing address

1718 Belmont Ave Ste D
Baltimore, MD 21244-2552
Phone (443) 257-4477

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250423003199 MD Part B Supplier - Clinic/Group Practice 6002332996 Receives reassigned benefits from 1 practitioner
Practice locations: Windsor Mill, MD

National Provider Directory

National Provider Directory

Locations

2036 W North Ave
Baltimore, MD 21217
Phone (443) 977-3048

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1063298008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 BELMONT AVE STE D",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442552",
            "telephone_number": "443-257-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 BELMONT AVE STE D",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442552",
            "telephone_number": "617-943-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALANIS KURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "IMANI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "617-943-0892",
        "authorized_official_credential": "FNP, CRNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.