Rachael Park, PNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

5014945 Issued in NC

Practice address

200 Swineburne Street
Raleigh, NC 27610

Phone

(919) 250-1120

Fax

(919) 743-7384

NPI assigned

Aug 27, 2021

Last updated

Feb 20, 2026By 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

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• County of Wake

  dba Wake County Human Services (MH DD Sa)

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Raleigh, NC
  • NPI 1295761617
  Medicare reassignment NPD
• County of Wake

  dba Wake County Health Dept

  • State or Local Public Health Clinic/Center
  • Raleigh, NC
  • NPI 1801957576
  NPD
• County of Wake

  dba Wake County EMS

  • Land Ambulance
  • Raleigh, NC
  • NPI 1922098029
  NPD

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1952078826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SWINEBURNE STREET",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27610",
            "telephone_number": "919-250-1120",
            "fax_number": "919-743-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SWINEBURNE STREET",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27610",
            "telephone_number": "919-250-1120",
            "fax_number": "919-743-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "RACHAEL",
        "credential": "PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5014945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suji Park-Idler, MD
• Cali D. Park
• Christy Hall Park, MSN, ACNP-BC, NP-C
• John Kyun Park, M.D.
• Paul Beomsoo Park, MD
• Robert S Park, MD
• Sun M Park, MD
• Young K Park, M.D.
• Parker Ruben Counseling Center
• Elizabeth Parker Sulentic, FNP-BC

• Pediatric Nurse Practitioner in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.