MEDICARE: CHELSEA JOHNSON NUTRITION, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1902749419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHELSEA JOHNSON NUTRITION, LLC

Provider Business Mailing Address
First Line	:	3304 GOSE COVE LN
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37931-3557
Country	:	US
Telephone Number	:	901-326-8177
Fax Number	:

Provider Business Practice Location Address
First Line	:	3304 GOSE COVE LN
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37931-3557
Country	:	US
Telephone Number	:	901-326-8177
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED DIETITIAN/OWNER
Name	:	CHELSEA JOHNSON
Credential	:	MS, RD, LDN, CSO
Telephone Number	:	901-326-8177

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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