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SHANTE ERICA MEDEARIS
NPI 1750193678
Peer Specialist in Riverside, CA

Active since January 27, 2025
2085 RUSTIN AVE, RIVERSIDE, CA 92507(951) 955-4126 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, May 5, 2025 (2 updates tracked since 2025).

About Shante Erica Medearis NPPES

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

SHANTE ERICA MEDEARIS (NPI 1750193678) is an individual peer specialist in Riverside, California, licensed in California (MPSS-BDXHFQ) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1750193678
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSHANTE ERICA MEDEARIS
Location Address2085 RUSTIN AVERiverside, CA 92507-2498
Mailing Address2085 Rustin AveRiverside, CA 92507-2498 · (951) 955-4126
Phone(951) 955-4126
Sole ProprietorNo
Enumeration DateJanuary 27, 2025
Last NPPES UpdateJune 23, 20252 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1750193678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-BDXHFQ
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedRehabilitation PractitionerTaxonomy 225400000X
2085 RUSTIN AVE, Riverside, CA 92507
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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.

MR. LUIS CARLOS LAMADRID B.A.,CAS. MSW
Social Worker
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-7172
GAIL LOUISE LEAVITT CPSS
Peer Specialist
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-1183
ERNESTINA ELIZABETH MCGREW RN
Registered Nurse
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-2105
MIGUEL A AGUILAR JR.
Student in an Organized Health Care Education/Training Program
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-7170
MRS. KRISTIN JEAN MILLER M.S.W
Social Worker (Clinical)
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 715-5040
MICHAEL DEGRUTT LMFT
Counselor (Mental Health)
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 715-5040
MYRA LAREA QUIRK
Marriage & Family Therapist
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-7263
LORENA MIHALKOVITZ MA, LMFT
Marriage & Family Therapist
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 867-3800

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 Shante Medearis's NPI number?

The NPI number for Shante Medearis is 1750193678. It was assigned to this individual provider in the NPPES registry on January 27, 2025.

Where is Shante Medearis located?

Shante Medearis practices at 2085 Rustin Ave, Riverside, CA 92507. The listed phone number is (951) 955-4126.

What is Shante Medearis's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shante Medearis was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.