Jessi Noel Mayfield, MS RDN LD

Individual provider Active NPI Registered Dietitian · Augusta, WV

NPI 1144028655 · NPPES record last updated Mar 3, 2025

Key facts

NPI
1144028655
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
1774 (WV)
Practice address
151 Phils LN
Augusta, WV 26704-1900
Phone
(304) 671-9408
NPI assigned
Mar 3, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1774WVMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1774 WV Yes

Addresses

Primary practice location

151 Phils LN
Augusta, WV 26704-1900

Mailing address

151 Phils LN
Augusta, WV 26704-1900
Phone (304) 671-9408

Other providers in Augusta, WV

All providers in Augusta, WV · Registered Dietitian in West Virginia

Sources for this page

Verify at the official NPI Registry.