NPIMap

Organization Active NPI

Metamorphosis LTD

  • Certified Registered Nurse Anesthetist
  • Canon City, CO
National Provider Identifier
1013324268
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN.0193071 Issued in CO
Legal business name
METAMORPHOSIS LTD
Practice address
113 Latigo Lane
Suite D
Canon City, CO 81212-8115
Phone
(719) 371-0000
NPI assigned
Jul 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Lisa Gail Pearson, DNAP/CRNANPI 1790749604
Title
Owner
Phone
(719) 371-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X RN.0193071 CO Primary

Addresses

Primary practice location

113 Latigo Lane
Suite D
Canon City, CO 81212-8115

Mailing address

PO Box 1868
Canon City, CO 81215-1868
Phone (719) 371-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141106000603 CO Part B Supplier - Clinic/Group Practice 1456573427 Receives reassigned benefits from 10 practitioners
Practice locations: Colorado Springs, CO; Canon City, CO
O20170928003020 IA Part B Supplier - Clinic/Group Practice 1456573427 Receives reassigned benefits from 2 practitioners
Practice locations: Manchester, IA

National Provider Directory

National Provider Directory

Locations

2140 Hollow Brook Dr
Ste 110
Colorado Springs, CO 80918
Phone (719) 371-0000

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1013324268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1868",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812151868",
            "telephone_number": "719-371-0000",
            "fax_number": "888-965-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LATIGO LANE",
            "address_2": "SUITE D",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812128115",
            "telephone_number": "719-371-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-371-0000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DNAP/CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "RN.0193071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.