OrganizationActive
Immigrant Community Development Center Inc
NPI 1366382541 · Occupational Health Nurse Practitioner · Springfield, MA
Provider details
- NPI number
- 1366382541
- Entity type
- Organization
- Primary specialty
- Occupational Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Rawan Ebrahim, Officer(413) 291-9020
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% 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
299 Carew St Ste 134
Springfield, MA 01104-2361
Phone: (413) 291-9020
Street-level locationGet directions
Mailing address
26 Beaudry St
Indian Orchard, MA 01151-1704
Registry dates
- Enumerated
- 2026-03-30
- Last updated
- 2026-03-30
- Certified
- 2026-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.