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SAMANTHA LISEK DNP, APRN, FNP-BC
NPI 1992695597
Nurse Practitioner in Charleston, SC

Active since July 07, 2025
210 PORT TACK DR, CHARLESTON, SC 29492(843) 670-2159 Get Directions Write a Review

NPPES record last updated: August 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2025, Jul 7, 2025 (2 updates tracked since 2025).

About Samantha Lisek Dnp, Aprn, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA LISEK DNP, APRN, FNP-BC (NPI 1992695597) is an individual nurse practitioner in Charleston, South Carolina, licensed in South Carolina (30655) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1992695597
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSAMANTHA LISEKCredential: DNP, APRN, FNP-BC
Location Address210 PORT TACK DRCharleston, SC 29492-8933
Mailing Address210 Port Tack DrCharleston, SC 29492-8933 · (843) 670-2159
Phone(843) 670-2159
Sole ProprietorNo
Enumeration DateJuly 7, 2025
Last NPPES UpdateAugust 16, 20252 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1992695597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SC · 30655
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 30655 (SC)
210 PORT TACK DR, Charleston, SC 29492
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Lisek's NPI number?

The NPI number for Samantha Lisek is 1992695597. It was assigned to this individual provider in the NPPES registry on July 7, 2025.

Where is Samantha Lisek located?

Samantha Lisek practices at 210 Port Tack Dr, Charleston, SC 29492. The listed phone number is (843) 670-2159.

What is Samantha Lisek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Samantha Lisek was last updated on August 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.