Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Bonita G. Dietrich
Nurse Practitioner in Peoria, IL · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1386734689
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Registry record
Entity type Individual (Type 1)
Name Bonita G. Dietrich
Sex Female
Practice address 2900 N Knoxville Ave, Peoria, IL, 61603
Phone (309) 688-3616
Fax (309) 687-3370
Enumeration date Oct 15, 2006
Last updated in NPPES Aug 5, 2009
Taxonomy & licenses
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 041248649/209000680 (IL) Primary
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 809840019 | Other | IL | MEDICARE INDIVIDUAL PTAN |
| CA4079 | Other | - | RR GROUP # |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Bonita Dietrich?
Bonita Dietrich is registered in NPPES with the primary taxonomy of Nurse Practitioner. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-08-05.