Healthcare Provider Details

I. General information

NPI: 1487581633
Provider Name (Legal Business Name): ZYONNA MEKAYDA FIELDS RBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

781 VIRGINIA AVE
WELCH WV
24801-2341
US

IV. Provider business mailing address

305 MERCER ST APT 2
PRINCETON WV
24740-3580
US

V. Phone/Fax

Practice location:
  • Phone: 304-888-5400
  • Fax: 304-436-6362
Mailing address:
  • Phone: 304-436-2106
  • Fax: 304-436-6362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: