Individual provider Active NPI

Samantha Elizabeth Lafuente, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1679198873
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11007279 Issued in FL
Practice address
1701 SE Hillmoor Dr Ste 7
Port St Lucie, FL 34952-7552
Phone
(772) 480-5860
Fax
(772) 264-8310
NPI assigned
Jun 12, 2020
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11007279 FL
Gerontology Nurse Practitioner 363LG0600X APRN11007279 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11007279 FL Primary

Addresses

Primary practice location

1701 SE Hillmoor Dr Ste 7
Port St Lucie, FL 34952-7552

Mailing address

3342 SW Hosanah LN
Okeechobee, FL 34974-2218
Phone (904) 891-4028

Other names 1

  • Samantha Ziesk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220309001011 FL Practitioner - Nurse Practitioner 4688069677 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nxpath Psychiatry LLCGroup PAC ID 0345692364, 13 clinicians
Mobile Medical Operating Company LLCGroup PAC ID 1456747625, 11 clinicians

Practice addresses (Care Compare)

11207 Cocoa Beach Dr
Riverview, FL 33569-2949
Phone (407) 900-1405

1840 SE Port St Lucie Blvd
Suite 1840
Port St Lucie, FL 34952-5545
Phone (772) 221-7620

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nxpath Psychiatry LLC CurrentSince Aug 1, 2024 Accepting new patients
My Choice Operating Company LLC Psychiatric/Mental Health CurrentSince Nov 17, 2025 Accepting new patients
Mobile Medical Operating Company LLC Psychiatric/Mental Health CurrentSince Nov 17, 2025 Accepting new patients
Urgent Medical Center Inc CurrentSince May 15, 2023 Accepting new patients
Primary Care Solutions & More LLC CurrentSince Feb 7, 2022 Accepting new patients
Chiro Worx Injury Center Inc CurrentSince May 15, 2023 Accepting new patients
Medical Associates of Brevard LLC PastSince Jun 1, 2020 Accepting new patients

Locations

4655 Salisbury Rd
Ste 110
Jacksonville, FL 32256
Phone (904) 570-9404

4655 Salisbury Rd
Ste 220
Jacksonville, FL 32256
Phone (904) 570-9404

11355 131st St
Largo, FL 33774
Phone (813) 325-7479

6931 W Broward Blvd
Plantation, FL 33317
Phone (954) 321-5191

1701 SE Hillmoor Dr
Ste 7
Port St Lucie, FL 34952
Phone (772) 398-9808

1840 SE Port St Lucie Blvd
Ste 1840
Port St Lucie, FL 34952
Phone (772) 221-7620

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1679198873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3342 SW HOSANAH LN",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349742218",
            "telephone_number": "904-891-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR STE 7",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "772-480-5860",
            "fax_number": "772-264-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFUENTE",
        "first_name": "SAMANTHA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11007279",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11007279",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11007279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "ZIESK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.