Provider Demographics
NPI:1366895716
Name:INTEGUMETRIX
Entity type:Organization
Organization Name:INTEGUMETRIX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, CCO/ADVANCED WOUND CARE EXPERT
Authorized Official - Prefix:
Authorized Official - First Name:TISHA
Authorized Official - Middle Name:C
Authorized Official - Last Name:BARZYK
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, AGACNP-BC, CWS
Authorized Official - Phone:615-668-1983
Mailing Address - Street 1:PO BOX 2127
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-1711
Mailing Address - Country:US
Mailing Address - Phone:844-673-6968
Mailing Address - Fax:
Practice Address - Street 1:3005 AMBROSE AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-4709
Practice Address - Country:US
Practice Address - Phone:844-673-6968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-21
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104961100Medicaid
KY7100487330Medicaid
TNQ022862Medicaid