Active NPI
Robert Joseph Degitz, PH.D., RN
- Nursing Care Agency
- Peoria, IL
National Provider Identifier
1760310221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 041-269552
- Practice address
- 1819 E Maple Ridge Dr
Peoria, IL 61614-7915 - Phone
- (309) 231-9708
- NPI assigned
- May 13, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 041-269552 | IL | Primary |
Addresses
Primary practice location
1819 E Maple Ridge Dr
Peoria, IL 61614-7915
Mailing address
1819 E Maple Ridge Dr
Peoria, IL 61614-7915
Phone (309) 231-9708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-269552 | IL | MD | Nursing Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1760310221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 E MAPLE RIDGE DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616147915",
"telephone_number": "309-231-9708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 E MAPLE RIDGE DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616147915",
"telephone_number": "309-231-9708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGITZ",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"credential": "PH.D., RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-13",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "IL",
"license": "041-269552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.