IndividualActive
Bonita Dietrich
NPI 1386734689 · Nurse Practitioner · Peoria, IL
Bonita Dietrich is a Nurse Practitioner provider in Peoria, IL (NPI 1386734689).
Provider details
- NPI number
- 1386734689
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 041248649/209000680 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2900 N Knoxville Ave
Peoria, IL 61603-1748
Phone: (309) 688-3616
Fax: (309) 687-3370
Street-level locationGet directions
Mailing address
2900 N Knoxville Ave
Peoria, IL 61603-1748
Registry dates
- Enumerated
- 2006-10-15
- Last updated
- 2009-08-05
Frequently asked questions
- What is Bonita Dietrich's NPI number?
- Bonita Dietrich's National Provider Identifier (NPI) is 1386734689, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bonita Dietrich's specialty?
- Bonita Dietrich is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Bonita Dietrich located?
- Bonita Dietrich's practice location on file with NPPES is 2900 N Knoxville Ave, Peoria, IL 61603-1748.
- What is Bonita Dietrich's phone number?
- The practice phone number listed in the NPPES registry for Bonita Dietrich is (309) 688-3616.
- Is Bonita Dietrich's NPI active?
- Yes — Bonita Dietrich's NPI (1386734689) is active in the NPPES registry as of the last update on 2009-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.