Organization Active NPI

Vitality Health & Wellness Clinic LLC

Doing business as Simply Vitality

  • Nurse Practitioner
  • Norwalk, OH
National Provider Identifier
1396634523
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
VITALITY HEALTH & WELLNESS CLINIC LLC
Doing business as
Simply Vitality
Practice address
39 E Main St
Norwalk, OH 44857-1514
Phone
(419) 677-0702
Fax
(419) 406-6942
NPI assigned
Jul 1, 2025
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Megan F Lunsford, FNP-CNPI 1942817945
Title
Owner
Phone
(419) 677-0702

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

39 E Main St
Norwalk, OH 44857-1514

Mailing address

39 E Main St
Norwalk, OH 44857-1514
Phone (419) 677-0702

Other names 1

  • Simply Vitality Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250813001529 OH Part B Supplier - Clinic/Group Practice 8123526670 Receives reassigned benefits from 2 practitioners
Practice locations: Norwalk, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2325228Vitality Health and Wellness Clinic39 E Main Street, Norwalk, OH 44857Certificate of waiverJun 9, 2027

National Provider Directory

National Provider Directory

Locations

39 E Main St
Norwalk, OH 44857
Phone (419) 677-0702

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1396634523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 E MAIN ST",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448571514",
            "telephone_number": "419-677-0702",
            "fax_number": "419-406-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 E MAIN ST",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448571514",
            "telephone_number": "419-677-0702",
            "fax_number": "419-406-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HEALTH & WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "LUNSFORD",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-677-0702",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Vitality",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Simply Vitality",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.