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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

VITALITY MANSFIELD, LLC
NPI 1407778871
Family Medicine in Mansfield, OH

Active since July 28, 2026CLIA 36D2171749 · Waiver
625 LEXINGTON AVE STE 6, MANSFIELD, OH 44907(419) 989-4342(419) 522-1113 Get Directions Write a Review

NPPES record added: July 28, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Vitality Mansfield, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITALITY MANSFIELD, LLC (NPI 1407778871), doing business as Vitality Natural Wellness, is a healthcare organization registered as a family medicine in Mansfield, Ohio and active in the NPI registry since July 2026. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Melissa Mcrae, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1407778871
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVITALITY MANSFIELD, LLC
Location Address625 LEXINGTON AVE STE 6Mansfield, OH 44907-1579
Mailing Address625 Lexington Ave Ste 6Mansfield, OH 44907-1579 · (419) 989-4342 · Fax (419) 522-1113
Phone(419) 989-4342
Fax(419) 522-1113
Organization SubpartYesParent: Melissa K Mcrae, D.o., Inc
Authorized OfficialMelissa McraeCeo/owner · (419) 989-4342
Enumeration DateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
✔ NPI 1407778871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
625 LEXINGTON AVE STE 6, Mansfield, OH 44907
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Other Names 1

Doing Business AsVitality Natural Wellness

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2171749

Vitality Mansfield, LLC · Mansfield, OH
Active · expires Sep 8, 2027
CLIA Number36D2171749
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorMelissa K. Mcrae
Laboratory Phone(419) 989-4342
Laboratory LocationVitality Mansfield, LLC625 Lexington Avenue, Suite 6, Mansfield, OH 44907
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CHRISTIAN LAROCHE FNP-BC
Nurse Practitioner (Family)
625 LEXINGTON AVE STE 6
MANSFIELD, OH 44907
Richland County (419) 989-4342
SHEREE MICHELE YOUNG RN
Registered Nurse
625 LEXINGTON AVE STE 6
MANSFIELD, OH 44907
Richland County (419) 989-4342

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vitality Mansfield, LLC's NPI number?

The NPI number for Vitality Mansfield, LLC is 1407778871. It was assigned to this organization in the NPPES registry on July 28, 2026. The provider is doing business as Vitality Natural Wellness.

Where is Vitality Mansfield, LLC located?

Vitality Mansfield, LLC is located at 625 Lexington Ave Ste 6, Mansfield, OH 44907. The listed phone number is (419) 989-4342.

What is Vitality Mansfield, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Vitality Mansfield, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2171749) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vitality Mansfield, LLC was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.