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STACIA MARIE WALLACE
NPI 1750995452
Adult Companion in Sacramento, CA

Active since September 01, 2020
3815 MARCONI AVE, SACRAMENTO, CA 95821(916) 890-3000 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 9, 2025, Sep 1, 2020 (2 updates tracked since 2020).

About Stacia Marie Wallace NPPES

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

STACIA MARIE WALLACE (NPI 1750995452) is an individual adult companion provider in Sacramento, California and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1750995452
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameSTACIA MARIE WALLACE
Location Address3815 MARCONI AVESacramento, CA 95821-3867
Mailing Address3815 Marconi AveSacramento, CA 95821-3867 · (916) 890-3000
Phone(916) 890-3000
Sole ProprietorNo
Enumeration DateSeptember 1, 2020
Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1750995452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3815 MARCONI AVE, Sacramento, CA 95821
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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.

CYNTHIA CHAVEZ
Adult Companion
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000
CALI T THIELEN
Adult Companion
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000
STEFANEY DENISE GUEST BROWN LVN
Licensed Vocational Nurse
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000
CHRISTINA NICOLE TANNER
Adult Companion
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000
TAQUILLA OWENS
Community Health Worker
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000
KIMONI WILLIAMS
Community Health Worker
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000
NARCISA ISABELLA MAISONET-STEVENSON
Peer Specialist
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000
J'QUAYSHA TUCKER LMFT
Marriage & Family Therapist
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000

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 Stacia Wallace's NPI number?

The NPI number for Stacia Wallace is 1750995452. It was assigned to this individual provider in the NPPES registry on September 1, 2020.

Where is Stacia Wallace located?

Stacia Wallace practices at 3815 Marconi Ave, Sacramento, CA 95821. The listed phone number is (916) 890-3000.

What is Stacia Wallace'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 Stacia Wallace was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.