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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHATESE EBERHART
NPI 1275286452
Student in an Organized Health Care Education/Training Program in Fairfield, CA

Active since January 28, 2022
2101 COURAGE DR, FAIRFIELD, CA 94533(707) 784-8320 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 3, 2026, Jan 7, 2026, Jan 28, 2022 (3 updates tracked since 2022).

About Shatese Eberhart NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHATESE EBERHART (NPI 1275286452) is an individual student in an organized health care education/training program in Fairfield, California and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1275286452
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHATESE EBERHART
Location Address2101 COURAGE DRFairfield, CA 94533-6717
Mailing Address2101 Courage DrFairfield, CA 94533-6717 · (707) 784-8320
Phone(707) 784-8320
Sole ProprietorNo
Enumeration DateJanuary 28, 2022
Last NPPES UpdateSeptember 3, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1275286452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2101 COURAGE DR, Fairfield, CA 94533
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JENNIFER RUTH PETTIBONE RN
Registered Nurse (Psychiatric/Mental Health)
2101 COURAGE DR, MS-10-200
FAIRFIELD, CA 94533
Solano County (707) 784-2154
MALISSA BLAIR RN
Registered Nurse
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 750-3000
ALISON LEGLER-HAUCK RN
Registered Nurse (Psychiatric/Mental Health)
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 639-4675
STEVEN MICHAEL ROCHA LVN
Licensed Vocational Nurse
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (530) 902-6636
CHELSEA M KENNEDY
Adult Companion
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 784-2057
ROSANNA POLANCO-FIERRO ASW
Social Worker (Clinical)
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 784-3011
CRISSADHEL DUPA LVN
Licensed Vocational Nurse
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 428-1131
CYNDI CAROL SMIT LMFT
Marriage & Family Therapist
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 784-2224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shatese Eberhart's NPI number?

The NPI number for Shatese Eberhart is 1275286452. It was assigned to this individual provider in the NPPES registry on January 28, 2022.

Where is Shatese Eberhart located?

Shatese Eberhart practices at 2101 Courage Dr, Fairfield, CA 94533. The listed phone number is (707) 784-8320.

What is Shatese Eberhart's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shatese Eberhart was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.