Individual provider · Type 1 NPI

Shante Erica Medearis

Peer Specialist · Riverside, CA

NPI number 1750193678 Active

Practice location

2085 Rustin Ave
Riverside, CA 92507-2498

Call (951) 955-4126 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Rehabilitation Practitioner 225400000XNone listed
Peer Specialist Primary 175T00000XMPSS-BDXHFQ (CA)

Peer Specialist: 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.

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About NPI 1750193678

Shante Erica Medearis's National Provider Identifier is 1750193678, issued on Jan 27, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Riverside, CA. The record was last updated on Jun 23, 2025.