Individual provider Active NPI

Cynthia Afia Abrefa-Kodom

  • Family Nurse Practitioner
  • Georgetown, DE
National Provider Identifier
1649975624
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0012301 Issued in DE
Practice address
21444 Carmean Way
Georgetown, DE 19947-4572
Phone
(302) 855-1233
NPI assigned
Mar 31, 2023
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0012301 DE Primary

Addresses

Primary practice location

21444 Carmean Way
Georgetown, DE 19947-4572

Mailing address

21444 Carmean Way
Georgetown, DE 19947-4572
Phone (302) 855-1233

Other practice location 1

21444 Carmean Way
Georgetown, DE 19947-4572
Phone (302) 855-1233

Other practice location 2

300 High St
Seaford, DE 19973-3940
Phone (302) 855-1233

Other practice location 3

21 W Clarke Ave Ste 1001
Milford, DE 19963-1849
Phone (302) 855-1233

Other practice location 4

810 New Burton Rd Ste 3
Dover, DE 19904-5488
Phone (302) 730-0550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20231012001399 DE Practitioner - Nurse Practitioner 6709231673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Red Health Center IncGroup PAC ID 4789668815, 23 clinicians

Practice addresses (Care Compare)

21444 Carmean Way
George Town, DE 19947-4572
Phone (302) 855-1233

21447 Carmean Way
Georgetown, DE 19947-4572

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0012301DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Life Center Complex, Inc CurrentSince Apr 24, 2024 Accepting new patients
La Red Health Center Inc CurrentSince Jul 1, 2025 Accepting new patients
The Life Center Complex, Inc Current Accepting new patients
La Red Health Center, Inc CurrentSince Jul 1, 2025 Accepting new patients
La Red Health Center Inc Past Accepting new patients

Locations

21444 Carmean Way
Georgetown, DE 19947
Phone (302) 855-2020

21 W Clarke Ave
Ste 1001
Milford, DE 19963
Phone (302) 855-1223

300 High St
Seaford, DE 19973

200 S DuPont St
Wilmington, DE 19805
Phone (302) 429-4000

222 Philadelphia Pike
Ste 13
Wilmington, DE 19809
Phone (302) 762-6864

812 Philadelphia Pike
Ste F
Wilmington, DE 19809

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1649975624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21444 CARMEAN WAY",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199474572",
            "telephone_number": "302-855-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21444 CARMEAN WAY",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199474572",
            "telephone_number": "302-855-1233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21444 Carmean Way",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "DE",
            "postal_code": "199474572",
            "country_code": "US",
            "telephone_number": "302-855-1233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 High St",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "DE",
            "postal_code": "199733940",
            "country_code": "US",
            "telephone_number": "302-855-1233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 W Clarke Ave Ste 1001",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "DE",
            "postal_code": "199631849",
            "country_code": "US",
            "telephone_number": "302-855-1233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 New Burton Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199045488",
            "country_code": "US",
            "telephone_number": "302-730-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABREFA-KODOM",
        "first_name": "CYNTHIA",
        "middle_name": "AFIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, DE

Sources for this page

Verify at the official NPI Registry.