Metamorphosis Foundation

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

METAMORPHOSIS FOUNDATION

Practice address

113 Latigo LN Ste C
Canon City, CO 81212-8115

Phone

(719) 275-4896

NPI assigned

Sep 22, 2025

Organization subpart

No

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

Authorized official

Name

Jessica Lovely

Title

Office Manager

Phone

(719) 285-3420

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa G Pearson, DNAP, CRNA, NSPMC

  • Interventional Pain Medicine Physician
  • Canon City, CO
  • NPI 1790749604
  Medicare reassignment NPD

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1760354542",
    "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": "719-275-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LATIGO LN STE C",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812128115",
            "telephone_number": "719-275-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-21",
        "status": "A",
        "authorized_official_last_name": "LOVELY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-285-3420"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori L. Meffley, MSW, LCSW
• Authumn Nichole Mehring, DNP, FNP-BC, PMHNP
• Kristin M Meisner, LPC, CAC III
• Nadina Marie Menefee, LMT, RN
• Rachelle D Mertes
• Metamorphosis LTD
• Kristi L Meyer, LCSW, ADS
• Allyson Jeanette Michaud, COTA
• Middle Ground
• Mile High Anesthetics, LLC

• Pain Medicine (Anesthesiology) Physician in Canon City, CO
• Providers in Canon City, CO by specialty
• Pain Medicine (Anesthesiology) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.