Individual provider Active NPI

Ewurama Afadziwa Ampofo, APRN,NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Manchester, CT
National Provider Identifier
1376856112
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
12.004400 Issued in CT
Practice address
200 W Center St Ste C3
Manchester, CT 06040-4870
Phone
(860) 957-8170
Fax
(860) 969-0929
NPI assigned
Jul 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN10033669 MA
Family Nurse Practitioner 363LF0000X RN10033669 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12.004400 CT Primary
Family Nurse Practitioner 363LF0000X 12.004400 CT

Addresses

Primary practice location

200 W Center St Ste C3
Manchester, CT 06040-4870

Mailing address

200 W Center St Ste C3
Manchester, CT 06040-4870
Phone (860) 712-5956

Other practice location 1

370 Main St Fl 11
Worcester, MA 01608-1723
Phone (860) 957-8170

Other names 1

  • Ewurama Afadziwa Hayford Professional 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
I20101210000517 CT Practitioner - Nurse Practitioner 1052508421 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

94 Union St
Vernon, CT 06066-3131
Phone (860) 712-5956

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12.004400CTMDFamily Nurse Practitioner
RN10033669MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Jun 8, 2021 Accepting new patients
Gaylord Hospital, Inc. CurrentSince May 6, 2024 Accepting new patients
Sterling Family Medicine Family CurrentSince Dec 27, 2022 Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients
Waterview Clinical Services LLC Psychiatric/Mental Health Past Accepting new patients

Locations

96 Prospect Hill Rd
East Windsor, CT 06088
Phone (860) 253-2617

200 W Center St
Ste C3
Manchester, CT 06040
Phone (844) 428-8728

50 Gaylord Farm Rd
Wallingford, CT 06492
Phone (203) 679-3553

370 Main St
Fl 11
Worcester, MA 01608
Phone (203) 568-6065

370 Main St
#101
Worcester, MA 01608

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

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": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1376856112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W CENTER ST STE C3",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404870",
            "telephone_number": "860-712-5956",
            "fax_number": "860-969-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W CENTER ST STE C3",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404870",
            "telephone_number": "860-957-8170",
            "fax_number": "860-969-0929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "370 Main St Fl 11",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081723",
            "country_code": "US",
            "telephone_number": "860-957-8170",
            "fax_number": "860-969-0829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMPOFO",
        "first_name": "EWURAMA",
        "middle_name": "AFADZIWA",
        "name_prefix": "Mrs.",
        "credential": "APRN,NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN10033669",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN10033669",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12.004400",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.004400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EWURAMA",
            "last_name": "HAYFORD",
            "middle_name": "AFADZIWA",
            "credential": "APRN, NP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.