Active NPI
Lisa G Pearson, DNAP, CRNA, NSPMC
- Interventional Pain Medicine Physician
- Canon City, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- APN.0015078-CRNA
- Practice address
- 113 Latigo Lane
Suite D
Canon City, CO 81212-8115 - Phone
- (719) 371-0000
- NPI assigned
- Apr 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RXA-100001 | CO | |
| Nurse Practitioner | 363L00000X | D148418 | IA | |
| Interventional Pain Medicine Physician | 208VP0014X | APN.0015078-CRNA | CO | Primary |
Addresses
Primary practice location
113 Latigo Lane
Suite D
Canon City, CO 81212-8115
Mailing address
PO Box 388
Newton, KS 67114-0388
Phone (316) 281-3700
Other practice location 1
1338 Phay Ave
Canon City, CO 81212-2399
Phone (719) 285-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
113 Latigo LN
Suite D
Canon City, CO 81212-8115
Phone (719) 371-0000
709 W Main St
Manchester, IA 52057-1526
Phone (563) 927-3232
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D148418 | IA | MD | Nurse Practitioner |
| RXA-100001 | CO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metamorphosis Foundation | Current | Accepting new patients | |
| Pikes Peak Physical Medicine, P.C. | Past | Accepting new patients | |
| Providence Health & Services - Washington | Past | Accepting new patients | |
| Metamorphosis LTD | Interventional Pain Medicine | Past | Accepting new patients |
| Anesthesia Services Medical Group of Topeka, PA | Past | Accepting new patients |
Locations
113 Latigo Ln
Ste C
Canon City, CO 81212
Phone (719) 275-4896
6015 Lehman Dr
Ste 205
Colorado Springs, CO 80918
Phone (719) 296-4180
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Canon City, CO
- NPI 1760354542
-
- Interventional Pain Medicine Physician
- Colorado Springs, CO
- NPI 1003415860
-
- Specialist
- Colorado Springs, CO
- NPI 1225129299
-
- Pain Medicine (Anesthesiology) Physician
- Topeka, KS
- NPI 1811938665
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1083866453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1790749604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 388",
"city": "NEWTON",
"state": "KS",
"postal_code": "671140388",
"telephone_number": "316-281-3700"
},
{
"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": [
{
"address_1": "1338 Phay Ave",
"address_purpose": "LOCATION",
"city": "Canon City",
"state": "CO",
"postal_code": "812122399",
"country_code": "US",
"telephone_number": "719-285-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEARSON",
"first_name": "LISA",
"middle_name": "G",
"credential": "DNAP, CRNA, NSPMC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "RXA-100001",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "D148418",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CO",
"license": "APN.0015078-CRNA",
"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 Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.