Stephanie E Tate, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Practice address

College and University 2540
Normal, IL 61790-2540

Phone

(309) 438-2956

Fax

(309) 438-3689

NPI assigned

Mar 28, 2006

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1215998646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COLLEGE AND UNIVERSITY 2540",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617902540",
            "telephone_number": "309-438-2956",
            "fax_number": "309-438-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COLLEGE AND UNIVERSITY 2540",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617902540",
            "telephone_number": "309-438-2956",
            "fax_number": "309-438-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "STEPHANIE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan J Svientek, M.D.
• Mark Edward Swerdlik, PH.D.
• Swia, LLC
• Brent Sylvester, PH.D.
• Jayul Tailor, MD
• Korine M Tatroe
• Taylor Ashton Taylor, MSN, APN, FNP-BC
• Juliet Dimayuga Tecson, APRN, FNP-C
• Thanom Temiyasathit, M.D.
• Andrew Terry, RN

• Internal Medicine Physician in Normal, IL
• Providers in Normal, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.