Individual provider Active NPI

Lori A Washenko, APRN, NP-C

  • Family Nurse Practitioner
  • Waterbury, CT
National Provider Identifier
1528538196
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12.008044 Issued in CT
Practice address
140 Grandview Ave Ste 202
Waterbury, CT 06708-2518
Phone
(203) 755-2344
Fax
(203) 755-9062
NPI assigned
Nov 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 10.106681 CT
Family Nurse Practitioner 363LF0000X 12.008044 CT Primary

Addresses

Primary practice location

140 Grandview Ave Ste 202
Waterbury, CT 06708-2518

Mailing address

140 Grandview Ave Ste 202
Waterbury, CT 06708-2518
Phone (203) 755-2344

Other names 1

  • Lori Pagan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190301001054 CT Practitioner - Nurse Practitioner 4587903984 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians

Practice addresses (Care Compare)

140 Grandview Ave
Suite 202
Waterbury, CT 06708-2518
Phone (203) 755-2344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10.106681CTMDRegistered Nurse
12.008044CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Jan 20, 2020 Accepting new patients
Prospect CT Medical Foundation, Inc. Registered Nurse CurrentSince Dec 12, 2022 Accepting new patients
Hartford Hospital CurrentSince Jan 20, 2020 Accepting new patients
Planned Parenthood of Southern New England, Inc. CurrentSince Dec 6, 2021 Accepting new patients
Hartford Hospital CurrentSince Jan 20, 2020 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

111 Park St
Hartford, CT 06106
Phone (860) 972-2780

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

345 Whitney Ave
New Haven, CT 06511
Phone (203) 503-0450

140 Grandview Ave
Ste 202
Waterbury, CT 06708
Phone 2035969793254

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1528538196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 GRANDVIEW AVE STE 202",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082518",
            "telephone_number": "203-755-2344",
            "fax_number": "203-755-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GRANDVIEW AVE STE 202",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082518",
            "telephone_number": "203-755-2344",
            "fax_number": "203-755-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHENKO",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "10.106681",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.008044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "PAGAN",
            "credential": "APRN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.