IndividualActive
Prudencia Esamaka Baneni Epse Divine
NPI 1336854330 · Attendant Care Provider · Washington, DC
Provider details
- NPI number
- 1336854330
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1150 12th St Nw
Washington, DC 20005-4602
Phone: (202) 813-3421
Street-level locationGet directions
Mailing address
6606 Rycroft Ave
New Carrollton, MD 20784-3652
Registry dates
- Enumerated
- 2023-01-16
- Last updated
- 2023-01-16
- Certified
- 2023-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.