Metamorphosis Wellness and Aesthetics LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

METAMORPHOSIS WELLNESS AND AESTHETICS LLC

Practice address

8988 S Sheridan Rd Ste B
Tulsa, OK 74133-5035

Phone

(918) 607-2261

NPI assigned

Jun 12, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Nickcole Munoz, APRN

Title

Owner/Aprn

Phone

(918) 607-2261

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1992489926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8988 S SHERIDAN RD STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335035",
            "telephone_number": "918-607-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8988 S SHERIDAN RD STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335035",
            "telephone_number": "918-607-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS WELLNESS AND AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "NICKCOLE",
        "authorized_official_title_or_position": "OWNER/APRN",
        "authorized_official_telephone_number": "918-607-2261",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Messick
• Robert Messinger
• Bradley Messner, CRNA
• Metabolic Centers for Excellence LLC
• Metamorphosis Counseling Services, PLLC
• Dawson Scott Metcalf
• Marcus W. Metcalf, DPT
• Jessica Metcalfe, LPC
• Samantha Marie Metcalfe, PHARMD
• Brittney R Methner, MS

• Family Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.