Healthcare Provider Details

I. General information

NPI: 1306771001
Provider Name (Legal Business Name): DR. BARBARA J KNAPPER-BOLDEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 MARTIN ST STE 205A
WINSTON SALEM NC
27103-4936
US

IV. Provider business mailing address

660 ROCK GARDEN CIR
WINSTON SALEM NC
27104-3481
US

V. Phone/Fax

Practice location:
  • Phone: 336-926-9229
  • Fax:
Mailing address:
  • Phone: 336-926-9229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: