Active NPI
Immortal Athletics LLC
- Registered Dietitian
- Cramerton, NC
National Provider Identifier
1508611468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Szejn, RD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Ec Opco Cramerton LP (Elmcroft of Cramerton)
- Gaston Family Health Services Inc (Kintegra at Cramerton Middle)
- Amber Leigh Gibson, LCMHC
- William Preston Guy III, RPH
- Phyllis Hattaway, PTA
- Integrated Care Pharmacies, LLC (Anderson Pharmacy)
- Lee Isley, PHARMD
- Marcus Alexander Ivey, PT, DPT
- Russell Keeney, LCMHC
- Caro Lamarque
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.