Individual provider Active NPI

Eric W Rush, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1033980511
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61611190 Issued in WA
Practice address
2111 N Northgate Way Ste 216
Seattle, WA 98133-9018
Phone
(206) 385-9636
Fax
(360) 547-7754
NPI assigned
Jan 12, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0036839 OH
Registered Nurse 163W00000X RN.518828 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61611190 WA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9071647 ID

Addresses

Primary practice location

2111 N Northgate Way Ste 216
Seattle, WA 98133-9018

Mailing address

403 14TH Ave E Apt 32
Seattle, WA 98112-4541
Phone (513) 720-7969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20251024003046 WA Practitioner - Nurse Practitioner 0042708596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lightheart Associates PSGroup PAC ID 2163889981, 45 clinicians

Practice addresses (Care Compare)

2111 N Northgate Way
Suite 216
Seattle, WA 98133-9018
Phone (206) 385-9636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.518828OHMDRegistered Nurse
9071647IDMDPsychiatric/Mental Health Nurse Practitioner
APRN.CNP.0036839OHMDPsychiatric/Mental Health Nurse Practitioner
AP61611190WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lightheart Associates PS CurrentSince Sep 1, 2025 Accepting new patients
Winston Center for Attention, Language and Learning PS PastSince Feb 1, 2025 Accepting new patients
Dr. Kathleen Worsley PastSince Sep 1, 2025 Accepting new patients

Locations

7902 168th Ave NE
Ste 101
Redmond, WA 98052
Phone (425) 472-2681

2111 N Northgate Way
Ste 216
Seattle, WA 98133
Phone (206) 385-9636

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1033980511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 14TH AVE E APT 32",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124541",
            "telephone_number": "513-720-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 N NORTHGATE WAY STE 216",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339018",
            "telephone_number": "206-385-9636",
            "fax_number": "360-547-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "ERIC",
        "middle_name": "W",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-12",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0036839",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.518828",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61611190",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "9071647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.