Organization Active NPI

Vitality Mansfield, LLC

Doing business as Vitality Natural Wellness

  • Family Medicine Physician
  • Mansfield, OH
National Provider Identifier
1407778871
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VITALITY MANSFIELD, LLC
Doing business as
Vitality Natural Wellness
Practice address
625 Lexington Ave Ste 6
Mansfield, OH 44907-1579
Phone
(419) 989-4342
Fax
(419) 522-1113
NPI assigned
Jul 28, 2026
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MELISSA K MCRAE, D.O., INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Melissa McRae, DO
Title
Ceo/Owner
Phone
(419) 989-4342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

625 Lexington Ave Ste 6
Mansfield, OH 44907-1579

Mailing address

625 Lexington Ave Ste 6
Mansfield, OH 44907-1579
Phone (419) 989-4342

Other names 1

  • Vitality Natural Wellness Doing business as

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
36D2171749Vitality Mansfield, LLC625 Lexington Avenue, Suite 6, Mansfield, OH 44907Certificate of waiverSep 8, 2027

National Provider Directory

National Provider Directory

Locations

625 Lexington Ave
Ste 6
Mansfield, OH 44907
Phone (419) 989-4342

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1407778871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LEXINGTON AVE STE 6",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071579",
            "telephone_number": "419-989-4342",
            "fax_number": "419-522-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 LEXINGTON AVE STE 6",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071579",
            "telephone_number": "419-989-4342",
            "fax_number": "419-522-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY MANSFIELD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MELISSA K MCRAE, D.O., INC",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "419-989-4342",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality Natural Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.

Verify at the official NPI Registry.