TRACEY ANN KNICKERBOCKER
NPI 1194254060
Adult Companion in Sacramento, CA

Active since June 05, 2017
650 HOWE AVE, SACRAMENTO, CA 95825(916) 533-6067 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2026, Jun 5, 2017 (2 updates tracked since 2017).

About Tracey Ann Knickerbocker NPPES

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

TRACEY ANN KNICKERBOCKER (NPI 1194254060) is an individual adult companion provider in Sacramento, California and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1194254060
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameTRACEY ANN KNICKERBOCKER
Location Address650 HOWE AVESacramento, CA 95825-4731
Mailing Address650 Howe AveSacramento, CA 95825-4731
Sole ProprietorYes
Enumeration DateJune 5, 2017
Last NPPES UpdateJanuary 21, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
NPI 1194254060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
650 HOWE AVE, Sacramento, CA 95825

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.

Community Based Residential Treatment Facility, Mental Illness
650 HOWE AVE
SACRAMENTO, CA 95825
Counselor (Addiction (Substance Use Disorder))
650 HOWE AVE, SUITE 530
SACRAMENTO, CA 95825
Adult Companion
650 HOWE AVE
SACRAMENTO, CA 95825
Counselor
650 HOWE AVE
SACRAMENTO, CA 95825
Rehabilitation Practitioner
650 HOWE AVE
SACRAMENTO, CA 95825
Adult Companion
650 HOWE AVE
SACRAMENTO, CA 95825
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
650 HOWE AVE
SACRAMENTO, CA 95825
Clinic/Center (Adult Mental Health)
650 HOWE AVE, BLDG. 300
SACRAMENTO, CA 95825

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 Tracey Knickerbocker's NPI number?

The NPI number for Tracey Knickerbocker is 1194254060. It was assigned to this individual provider in the NPPES registry on June 5, 2017.

Where is Tracey Knickerbocker located?

Tracey Knickerbocker practices at 650 Howe Ave, Sacramento, CA 95825. The listed phone number is (916) 533-6067.

What is Tracey Knickerbocker's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Tracey Knickerbocker was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.