Diedra Restoff

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041.297354 Issued in IL

Practice address

5906 Bluejay Rd
Tamaroa, IL 62888-3020

Phone

(618) 534-5815

NPI assigned

Mar 3, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1295680387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 BLUEJAY RD",
            "city": "TAMAROA",
            "state": "IL",
            "postal_code": "628883020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 BLUEJAY RD",
            "city": "TAMAROA",
            "state": "IL",
            "postal_code": "628883020",
            "telephone_number": "618-534-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTOFF",
        "first_name": "DIEDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.297354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jean Costello, DT, PTA
• Vicki L Ellison, RN
• Ali Renee Epplin, M.S. CCC-SLP
• Tamaroa S D #5
• Tamaroa School Dist 5

• All providers in Tamaroa, IL
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.