Individual provider Active NPI

Eric A Washington, FNP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1346458791
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209004207 Issued in IL
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

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091007000052 IN Practitioner - Nurse Practitioner 6608972286 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71002360AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical Nurse Practitioner CurrentSince Aug 11, 2025 Accepting new patients
Emergency Professionals of Indiana, P.C. CurrentSince Sep 19, 2025 Accepting new patients
Mindgent Healthcare Clinics, LLC Nurse Practitioner Past Accepting new patients
The Methodist Hospitals, Inc PastSince Sep 8, 2014 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.

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

Verify at the official NPI Registry.