Live Well Healthcare PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LIVE WELL HEALTHCARE PLLC

Practice address

20130 Lakeview Center PLZ Ste 400
Ashburn, VA 20147-5905

Phone

(571) 931-2533

Fax

(571) 365-7530

NPI assigned

Jan 16, 2023

Last updated

Jan 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Enyonam Jordan-Brangman, NPNPI 1114112604

Title

Nurse Practitioner

Phone

(571) 247-4434

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Enyonam Jordan-Brangman, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ashburn, VA
  • NPI 1114112604
  NPD Authorized official

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1912612904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20130 LAKEVIEW CENTER PLZ STE 400",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475905",
            "telephone_number": "571-931-2533",
            "fax_number": "571-365-7530"
        },
        {
            "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": "571-931-2533",
            "fax_number": "571-365-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "JORDAN-BRANGMAN",
        "authorized_official_first_name": "ENYONAM",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "571-247-4434",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.