Organization Active NPI

Immortal Athletics LLC

  • Registered Dietitian
  • Cramerton, NC
National Provider Identifier
1508611468
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
IMMORTAL ATHLETICS LLC
Practice address
235A Market St
Cramerton, NC 28032-1146
Phone
(704) 879-5693
NPI assigned
Apr 23, 2024
Last updated
Feb 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Sarah Szejn, RDNPI 1720773450
Title
Dietitian
Phone
(704) 616-8574

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

235A Market St
Cramerton, NC 28032-1146

Mailing address

235A Market St
Cramerton, NC 28032-1146

National Provider Directory

National Provider Directory

Locations

235A Market St
Cramerton, NC 28032
Phone (704) 879-5693

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1508611468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235A MARKET ST",
            "city": "CRAMERTON",
            "state": "NC",
            "postal_code": "280321146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235A MARKET ST",
            "city": "CRAMERTON",
            "state": "NC",
            "postal_code": "280321146",
            "telephone_number": "704-879-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMORTAL ATHLETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "SZEJN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "704-616-8574",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cramerton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.