Organization Active NPI

Imani House Medical Services

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1770953747
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
IMANI HOUSE MEDICAL SERVICES
Practice address
6101 Park Heights Ave Apt 1D
Baltimore, MD 21215-3640
Phone
(410) 624-7190
Fax
(410) 624-7193
NPI assigned
Oct 2, 2015
Last updated
Jun 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Dr. Annette Youvonne Kingel, DNP FP CRNPNPI 1881633808
Title
Nurse Practitioner
Phone
(410) 624-7190

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X MD Primary

Addresses

Primary practice location

6101 Park Heights Ave Apt 1D
Baltimore, MD 21215-3640

Mailing address

7300 Park Heights Ave Apt B
Pikesville, MD 21208-5435
Phone (410) 624-7190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170610000043 MD Part B Supplier - Clinic/Group Practice 2163790411 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1770953747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 PARK HEIGHTS AVE APT B",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085435",
            "telephone_number": "410-624-7190",
            "fax_number": "410-624-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 PARK HEIGHTS AVE APT 1D",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153640",
            "telephone_number": "410-624-7190",
            "fax_number": "410-624-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI HOUSE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "KINGEL",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "YOUVONNE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "410-624-7190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP FP CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.