Sarah Kennerly Lustig, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

84468 Issued in SC

Practice address

1131 Wando Rd
Wando, SC 29492-7854

Phone

(843) 364-4918

Fax

(843) 884-4618

NPI assigned

Aug 3, 2022

Last updated

Sep 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

Practice roles

Locations

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.

• Hoofprints in the Sand, Inc.

  • Health & Wellness Coach
  • Charleston, SC
  • NPI 1396473815
  NPD Authorized official

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1952038580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 WANDO RD",
            "city": "WANDO",
            "state": "SC",
            "postal_code": "294927854",
            "telephone_number": "843-364-4918",
            "fax_number": "843-884-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 WANDO RD",
            "city": "WANDO",
            "state": "SC",
            "postal_code": "294927854",
            "telephone_number": "843-364-4918",
            "fax_number": "843-884-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTIG",
        "first_name": "SARAH",
        "middle_name": "KENNERLY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "SC",
            "license": "84468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Baldwin, RPT
• Charleston Autism Academy
• Charleston Autism Academy
• Elizabeth Ruth Couch, BCBA
• Kason Richler, Inc (K&R Pharmacy)
• Med-Caire Inc.
• Laura Todd Misenhelter, RPH
• NCS Healthcare of South Carolina, LLC (Omnicare of Charleston #48343)
• Shweta Patel
• Playtime Pediatric Physical Therapy

• Adult Psychiatric/Mental Health Registered Nurse in Wando, SC
• Providers in Wando, SC by specialty
• Adult Psychiatric/Mental Health Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.