Active NPI
Candice Danbury, FNP-BC
- Family Nurse Practitioner
- Columbia, SC
National Provider Identifier
1629850987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28007
- Practice address
- 1494 Lake Murray Blvd Ste a
Columbia, SC 29212-8697 - Phone
- (803) 883-2345
- NPI assigned
- Oct 19, 2023
- Last updated
- Jun 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28007 | SC | Primary |
Addresses
Primary practice location
1494 Lake Murray Blvd Ste a
Columbia, SC 29212-8697
Mailing address
1494 Lake Murray Blvd Ste a
Columbia, SC 29212-8697
Phone (803) 883-2345
Other names 1
- Candace Novak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28007 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Glow- Men's and Women's Health | Nurse Practitioner | Current | Accepting new patients |
Locations
1494 Lake Murray Blvd
Ste A
Columbia, SC 29212
Phone (803) 470-6654
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Columbia, SC
- NPI 1033050547
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1629850987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1494 LAKE MURRAY BLVD STE A",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292128697",
"telephone_number": "803-883-2345",
"fax_number": "803-883-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1494 LAKE MURRAY BLVD STE A",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292128697",
"telephone_number": "803-883-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANBURY",
"first_name": "CANDICE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-19",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "28007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANDACE",
"last_name": "NOVAK",
"credential": "FNP-BC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.