LIVE WELL HEALTHCARE PLLC
NPI 1912612904
Nurse Practitioner - Psychiatric/Mental Health in Ashburn, VA

Active since January 16, 2023
20130 LAKEVIEW CENTER PLZ STE 400, ASHBURN, VA 20147(571) 931-2533(571) 365-7530 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 30, 2026, Jan 16, 2023 (2 updates tracked since 2023).

About Live Well Healthcare Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVE WELL HEALTHCARE PLLC (NPI 1912612904) is a healthcare organization registered as a psychiatric/mental health in Ashburn, Virginia and active in the NPI registry since January 2023. The organization lists Enyonam Jordan-brangman, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1912612904
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIVE WELL HEALTHCARE PLLC
Location Address20130 LAKEVIEW CENTER PLZ STE 400Ashburn, VA 20147-5905
Mailing Address20130 Lakeview Center Plz Ste 400Ashburn, VA 20147-5905 · (571) 931-2533 · Fax (571) 365-7530
Fax(571) 365-7530
Organization SubpartNo
Authorized OfficialEnyonam Jordan-brangmanNurse Practitioner · (571) 247-4434
Enumeration DateJanuary 16, 2023
Last NPPES UpdateJanuary 30, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
NPI 1912612904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
20130 LAKEVIEW CENTER PLZ STE 400, Ashburn, VA 20147

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
20130 LAKEVIEW CENTER PLZ STE 400
ASHBURN, VA 20147
In Home Supportive Care
20130 LAKEVIEW CENTER PLZ STE 400
ASHBURN, VA 20147
Psychologist (Clinical)
20130 LAKEVIEW CENTER PLZ STE 400
ASHBURN, VA 20147
Behavior Technician
20130 LAKEVIEW CENTER PLZ STE 400
ASHBURN, VA 20147
Behavior Technician
20130 LAKEVIEW CENTER PLZ STE 400
ASHBURN, VA 20147
Behavior Technician
20130 LAKEVIEW CENTER PLZ STE 400
ASHBURN, VA 20147
Behavior Technician
20130 LAKEVIEW CENTER PLZ STE 400
ASHBURN, VA 20147
Behavior Technician
20130 LAKEVIEW CENTER PLZ STE 400
ASHBURN, VA 20147

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Live Well Healthcare PLLC's NPI number?

The NPI number for Live Well Healthcare PLLC is 1912612904. It was assigned to this organization in the NPPES registry on January 16, 2023.

Where is Live Well Healthcare PLLC located?

Live Well Healthcare PLLC is located at 20130 Lakeview Center Plz Ste 400, Ashburn, VA 20147. The listed phone number is (571) 931-2533.

What is Live Well Healthcare PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Live Well Healthcare PLLC was last updated on January 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.