Individual provider Active NPI

Kandy Stevenson-Black, FNP-BC

  • Family Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1922564889
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22175 Issued in SC
Practice address
1835 Rogers Rd
Anderson, SC 29621-2278
Phone
(864) 328-1945
Fax
(864) 328-1975
NPI assigned
Feb 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22175 SC Primary

Addresses

Primary practice location

1835 Rogers Rd
Anderson, SC 29621-2278

Mailing address

102 Willow Cor
Piedmont, SC 29673-8396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190702001432 SC Practitioner - Nurse Practitioner 9436483013 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22175SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David Budhoo, LLC CurrentSince May 1, 2019 Accepting new patients
Hospice of the Upstate Inc PastSince Oct 1, 2020 Accepting new patients

Locations

208 James St
Anderson, SC 29625
Phone (864) 226-3427

140 Tokeena Rd
Seneca, SC 29678
Phone (843) 246-1694

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1922564889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WILLOW COR",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296738396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 ROGERS RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212278",
            "telephone_number": "864-328-1945",
            "fax_number": "864-328-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON-BLACK",
        "first_name": "KANDY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.