Brooke Elizabeth Tate

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242005094 Issued in IL

Practice address

17634 N Hails LN
Mount Vernon, IL 62864-7715

Phone

(618) 237-5336

NPI assigned

Sep 7, 2018

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": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1407339302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17634 N HAILS LN",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628647715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17634 N HAILS LN",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628647715",
            "telephone_number": "618-237-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "BROOKE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242005094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgical Associates of Mt Vernon, LTD
• Tammy Sweet
• Alexandrea Bree an Swinnen, PHARMD
• Madona Syxiengmay, P.T.
• T Clinic LLC
• Keli Erin Tate, MS LPC
• Kimberly Tate, QMHP
• Gina M Taylor, MHP
• Kelley Dawn Taylor, MHP
• TDL Group, Inc. (Richview)

• Speech-Language Pathologist in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.