ENYONAM JORDAN-BRANGMAN NP NPI 1114112604

NPI Information

  • NPI: 1114112604
  • Provider Name: ENYONAM JORDAN-BRANGMAN, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 20130 LAKEVIEW CENTER PLZ STE 400
    ASHBURN, VA
    ZIP 20147
  • Phone: (804) 207-6737

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NPI Details

Enyonam Jordan-brangman, NP is a psychiatric/mental health nurse practitioner in Ashburn, VA with 11 years of experience. Enyonam Jordan-brangman, NP NPI is 1114112604. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20130 LAKEVIEW CENTER PLZ STE 400
ASHBURN, VA
ZIP 20147-905
Phone: (804) 207-6737

The NPI 1114112604 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes (HCPCS:99334)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 9/8/2007 and was last updated on 1/29/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health0024174109VIRGINIAYes
2363LA2200XNurse PractitionerAdult Health0024174109VIRGINIANo
3163WA0400XRegistered NurseAddiction (Substance Use Disorder)0001191728VIRGINIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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