Kia Antoinnette Stevenson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

56060 Issued in SC

Practice address

2416 Ramona Dr
Darlington, SC 29532-8131

Phone

(843) 453-3629

NPI assigned

Nov 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1033934989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 N CASHUA DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 RAMONA DR",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295328131",
            "telephone_number": "843-453-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "KIA",
        "middle_name": "ANTOINNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-16",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "56060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smosska Ehealth Systems, LLC
• Isaac B Snapp, PA
• South Carolina CVS Pharmacy LLC
• Brittainy Starling, RN
• State of South Carolina
• Steven H Suess
• Karyn Poston Suggs, LPC
• Sup-RX Pharmacy #53
• Surroundance Medical Solutions
• T & B Inc

• Licensed Practical Nurse in Darlington, SC
• Providers in Darlington, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; 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.