Resurgence Tennessee, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RESURGENCE TENNESSEE, LLC

Practice address

201 William D Jones Blvd
Fayetteville, TN 37334-2730

Phone

(888) 700-5053

NPI assigned

Nov 24, 2020

Last updated

Apr 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamie Littleton, LMFT #122999NPI 1801256763

Title

National Clinical Director

Phone

(949) 244-5481

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Jamie Littleton, M.S., MFTI

  • Marriage & Family Therapist
  • Costa Mesa, CA
  • NPI 1801256763
  NPD Authorized official

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649462400000",
    "number": "1285238824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE M1",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264626",
            "telephone_number": "949-244-5481",
            "fax_number": "949-209-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WILLIAM D JONES BLVD",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342730",
            "telephone_number": "888-700-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURGENCE TENNESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A",
        "authorized_official_last_name": "LITTLETON",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "NATIONAL CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "949-244-5481",
        "authorized_official_credential": "LMFT #122999"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY",
            "identifier": "1124627443",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Quick, PT
• R. Daniel de Jarnatt
• Stuti Raghuram
• Rehab Technologies LLC
• Results-Ast JV, LLC
• Stephanie R Rives, CRNP
• David R Robertson Jr., DPT
• Kendra Rodgers, NURSE PRACTITIONER
• Carla Rutledge, B.S.
• Paul D Sain, MD

• Substance Abuse Rehabilitation Facility in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Substance Abuse Rehabilitation Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; 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.