INTEGRATED FACIAL AESTHETICS, PLLC – NPI #1689526741
Otolaryngology

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Health Care Provider Taxonomy Code for Otolaryngology

INTEGRATED FACIAL AESTHETICS, PLLC is an otolaryngologist located in TULLAHOMA, TN. NPPES has assigned the NPI number 1689526741 to INTEGRATED FACIAL AESTHETICS, PLLC on February 11, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207YX0905X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INTEGRATED FACIAL AESTHETICS, PLLC below.

NPI Profile for
INTEGRATED FACIAL AESTHETICS, PLLC

NPI Number
1689526741
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INTEGRATED FACIAL AESTHETICS, PLLC
Primary location
1821 N WASHINGTON ST
TULLAHOMA, TN 37388-2221
Phone: (931) 455-2005 Fax: (931) 455-4450
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TRACY HICKERSON
CREDENTIALING FACILITATOR
Phone: (931) 461-5056
Updated
Certification Date
Feb 11, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YX0905X
- Otolaryngology / Otolaryngology/Facial Plastic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.