Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Johnson, CPT, PN1, BCS, CES

Individual provider Health & Wellness Coach · NPI 1669193116

Samuel Johnson, CPT, PN1, BCS, CES is a Health & Wellness Coach in Brentwood, Tennessee. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2022
Specialties on file
3

Practice location Address checks out

5720 Stone Brook Dr
Brentwood, TN 37027-4640
Phone: (615) 972-3862
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X
Health & Wellness Coach Taxonomy 171400000X (MO)
Health Educator Taxonomy 174H00000X

Record details

NPI number1669193116
Entity typeIndividual (Type 1)
GenderMale
Credentials CPT , PN1 , BCS , CES
Sole proprietorYes
NPI enumeratedSeptember 2, 2022
Last updated in NPPESSeptember 2, 2022
Certification dateSeptember 2, 2022

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