Active NPI
Enyonam Jordan-Brangman, NP
- Psychiatric/Mental Health Nurse Practitioner
- Ashburn, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024174109
- Practice address
- 20130 Lakeview Center PLZ Ste 400
Ashburn, VA 20147-5905 - Phone
- (804) 207-6737
- NPI assigned
- Sep 8, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024174109 | VA | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 0024174109 | VA | |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 0001191728 | VA |
Addresses
Primary practice location
20130 Lakeview Center PLZ Ste 400
Ashburn, VA 20147-5905
Mailing address
42234 Highbank PL
Aldie, VA 20105-5725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychogeriatric Services LLC | Current | Accepting new patients | |
| Thrive Counseling LLC | Current | Accepting new patients | |
| Live Well Healthcare PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873
20130 Lakeview Center Plz
Ste 400
Ashburn, VA 20147
Phone (700) 865-2144
8575 Rixlew Ln
Manassas, VA 20109
Phone (703) 257-9770
10432 Balls Ford Rd
Ste 300
Manassas, VA 20109
Phone (571) 229-8708
5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Lynchburg, VA
- NPI 1215181300
-
- Psychiatric/Mental Health Nurse Practitioner
- Ashburn, VA
- NPI 1912612904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1114112604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42234 HIGHBANK PL",
"city": "ALDIE",
"state": "VA",
"postal_code": "201055725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20130 LAKEVIEW CENTER PLZ STE 400",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475905",
"telephone_number": "804-207-6737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN-BRANGMAN",
"first_name": "ENYONAM",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-08",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024174109",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "VA",
"license": "0024174109",
"primary": false
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0001191728",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.