Active NPI
Eric A Washington, FNP
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209004207
- Practice address
- 3951 West 103Rd Street
Chicago, IL 60655 - Phone
- (773) 881-3323
- NPI assigned
- May 18, 2007
- Sex
- Male
- 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 | 71002360A | IN | |
| Family Nurse Practitioner | 363LF0000X | 209004207 | IL | Primary |
Addresses
Primary practice location
3951 West 103Rd Street
Chicago, IL 60655
Mailing address
920 Second Avenue South
Ste 400
Minneapolis, MN 55402
Phone (612) 659-7111
Other practice location 1
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-2699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002360A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Nurse Practitioner | Current | Accepting new patients |
| Emergency Professionals of Indiana, P.C. | Current | Accepting new patients | |
| Mindgent Healthcare Clinics, LLC | Nurse Practitioner | Past | Accepting new patients |
| The Methodist Hospitals, Inc | Past | Accepting new patients |
Locations
514 16th St
Bedford, IN 47421
Phone (812) 279-2001
155 E Burks Dr
Bloomington, IN 47401
Phone (812) 322-4437
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
309 W Pike Ave
Petersburg, IN 47567
Phone (812) 354-8833
400 Industries Rd
Richmond, IN 47374
Phone (765) 935-0135
2330 Straightline Pike
Richmond, IN 47374
Phone (765) 966-7681
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1013951219
-
- Specialist
- Hammond, IN
- NPI 1568589802
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1598716524
-
dba Methodist Northlake Physicians
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1346458791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 SECOND AVENUE SOUTH",
"address_2": "STE 400",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55402",
"telephone_number": "612-659-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3951 WEST 103RD STREET",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60655",
"telephone_number": "773-881-3323"
}
],
"practiceLocations": [
{
"address_1": "7950 W Jefferson Blvd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468044140",
"country_code": "US",
"telephone_number": "260-435-2699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WASHINGTON",
"first_name": "ERIC",
"middle_name": "A",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71002360A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209004207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.