Active NPI
Samantha Lynne Lisek, DNP, APRN, FNP-BC
- Family Nurse Practitioner
- Charleston, SC
National Provider Identifier
1992695597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 30655
- Practice address
- 86 Jonathan Lucas St
Charleston, SC 29425-8900 - Phone
- (843) 792-9300
- NPI assigned
- Jul 7, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 30655 | SC | |
| Family Nurse Practitioner | 363LF0000X | 30655 | SC | Primary |
Addresses
Primary practice location
86 Jonathan Lucas St
Charleston, SC 29425-8900
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Other practice location 1
1180 Hospital Dr
Mount Pleasant, SC 29464-3776
Phone (843) 792-9300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.musc.edu | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30655 | SC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1992695597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751461",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 JONATHAN LUCAS ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258900",
"telephone_number": "843-792-9300"
}
],
"practiceLocations": [
{
"address_1": "1180 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "SC",
"postal_code": "294643776",
"country_code": "US",
"telephone_number": "843-792-9300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LISEK",
"first_name": "SAMANTHA",
"middle_name": "LYNNE",
"credential": "DNP, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-07",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "30655",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "30655",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.musc.edu",
"affiliation": "N",
"endpointDescription": "SKIP",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "86 Jonathan Lucas St",
"city": "Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294258900",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.