Active NPI
Resurgent Health, PLLC
- Family Medicine Physician
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- RESURGENT HEALTH, PLLC
- Practice address
- 5621 36TH Ave S Unit 400
Fargo, ND 58104-5270 - Phone
- (701) 599-3950
- Fax
- (701) 495-9540
- NPI assigned
- May 16, 2024
- 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
- Alyson Dahl, PA-C
- Title
- President
- Phone
- (701) 308-1429
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
5621 36TH Ave S Unit 400
Fargo, ND 58104-5270
Mailing address
5621 36TH Ave S Unit 400
Fargo, ND 58104-5270
Phone (701) 599-3950
Other names 1
- Resurgent Health
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 35D2305774 | Resurgent Health | Certificate of waiver | Jun 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
5621 36th Ave S
Unit 400
Fargo, ND 58104
Phone (701) 308-1429
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Fargo, ND
- NPI 1568996700
-
- Family Medicine Physician
- Fargo, ND
- NPI 1477867943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715817600000",
"number": "1467201954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5621 36TH AVE S UNIT 400",
"city": "FARGO",
"state": "ND",
"postal_code": "581045270",
"telephone_number": "701-599-3950",
"fax_number": "701-495-9540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5621 36TH AVE S UNIT 400",
"city": "FARGO",
"state": "ND",
"postal_code": "581045270",
"telephone_number": "701-599-3950",
"fax_number": "701-495-9540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESURGENT HEALTH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-16",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A",
"authorized_official_last_name": "DAHL",
"authorized_official_first_name": "ALYSON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "701-308-1429",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Resurgent Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.