Active NPI
Lori Evelyn Demayo, FNP
- Family Nurse Practitioner
- Clinton, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 14537
- Practice address
- 114 E Main St
Clinton, CT 06413-2131 - Phone
- (860) 664-0787
- Fax
- (860) 664-1982
- NPI assigned
- Apr 3, 2015
- Last updated
- Jan 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.0991458-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | 14537 | CT | Primary |
| Registered Nurse | 163W00000X | E56954 | CT | |
| Registered Nurse | 163W00000X | RN.0160910 | CO |
Addresses
Primary practice location
114 E Main St
Clinton, CT 06413-2131
Mailing address
19 Grand St
Middletown, CT 06457-2705
Phone (860) 347-6971
Other practice location 1
859 S 4th Ave
Brighton, CO 80601-3205
Phone (303) 338-4545
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59230843 | Medicaid | CO | |
| 026489 | Other | CO | KAISER COMMERCIAL NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
19 Grand St
Middletown, CT 06457-2705
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.0160910 | CO | MD | Registered Nurse |
| E56954 | CT | MD | Registered Nurse |
| APN.0991458-NP | CO | MD | Family Nurse Practitioner |
| 14537 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center Inc | Current | Accepting new patients |
Locations
114 E Main St
Clinton, CT 06413
Phone (860) 664-0787
19 Grand St
Middletown, CT 06457
Phone (860) 323-0172
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Middletown, CT
- NPI 1952591851
-
dba City of Danbury Emergency Shelter WYA
- Federally Qualified Health Center (FQHC)
- Danbury, CT
- NPI 1003332446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1972998185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 GRAND ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064572705",
"telephone_number": "860-347-6971",
"fax_number": "860-343-7371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 E MAIN ST",
"city": "CLINTON",
"state": "CT",
"postal_code": "064132131",
"telephone_number": "860-664-0787",
"fax_number": "860-664-1982"
}
],
"practiceLocations": [
{
"address_1": "859 S 4th Ave",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "CO",
"postal_code": "806013205",
"country_code": "US",
"telephone_number": "303-338-4545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMAYO",
"first_name": "LORI",
"middle_name": "EVELYN",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-03",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0991458-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "14537",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "E56954",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN.0160910",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "59230843",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER COMMERCIAL NUMBER",
"identifier": "026489",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "859 S 4th Ave",
"city": "Brighton",
"state": "CO",
"country_code": "US",
"postal_code": "806013205",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clinton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.