1. Home
  2. Directory
  3. South Carolina
  4. Charleston
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

ELAINE PARK
NPI 1083563621
Student in an Organized Health Care Education/Training Program in Charleston, SC

Active since January 27, 2026
171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Elaine Park NPPES

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

ELAINE PARK (NPI 1083563621) is an individual student in an organized health care education/training program in Charleston, South Carolina and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1083563621
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameELAINE PARK
Location Address171 ASHLEY AVECharleston, SC 29425-8908
Mailing Address150 Bee St Apt 502Charleston, SC 29401-5704
Phone(843) 792-1414
Sole ProprietorNo
Enumeration DateJanuary 27, 2026
NPPES CertifiedJanuary 26, 2026
✔ NPI 1083563621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
171 ASHLEY AVE, Charleston, SC 29425
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLYN REED WORD M.D.
Allergy & Immunology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
CHRISTOPHER ARNOLD HENSLEY CRNA
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
ANGELINA INDIRA PHILLIPS
Pathology (Anatomic Pathology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
BLAKE DANIEL FORCINA
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
CHELSEA LEE CRUISE SW
Social Worker
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
DR. RICHARD HAYDEN JONES MD
Radiology (Pediatric Radiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
LINDSEY HENDRICKSON NP
Nurse Practitioner
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
MICHAEL DAMASO DE GUZMAN
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414

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 Elaine Park's NPI number?

The NPI number for Elaine Park is 1083563621. It was assigned to this individual provider in the NPPES registry on January 27, 2026.

Where is Elaine Park located?

Elaine Park practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.

What is Elaine Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Elaine Park was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.