Individual provider Active NPI

Dianne Sinclair Audette, FNP-C

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1346752375
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5010022 Issued in NC
Practice address
3158 Freedom Dr Ste 3102
Charlotte, NC 28208-0014
Phone
(704) 348-2992
Fax
(704) 334-3061
NPI assigned
Oct 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5010022 NC Primary

Addresses

Primary practice location

3158 Freedom Dr Ste 3102
Charlotte, NC 28208-0014

Mailing address

3158 Freedom Dr Ste 3102
Charlotte, NC 28208-0014
Phone (704) 971-7099

Other identifiers 1

IdentifierTypeStateIssuer
5010022OtherNCNC LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address daudette66432@direct.acumenmd.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171205000576 NC Practitioner - Nurse Practitioner 6406113133 Reassigns benefits to 1 organization
I20201109001954 SC Practitioner - Nurse Practitioner 6406113133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metrolina Nephrology Associates PAGroup PAC ID 8022916600, 85 clinicians

Practice addresses (Care Compare)

1975 Carolna Place Dr
Fort Mill, SC 29708-6922
Phone (704) 348-2992

928 Baxter St
Charlotte, NC 28204-2802
Phone (704) 348-2992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metrolina Nephrology Associates, PA CurrentSince Nov 1, 2017 Accepting new patients

Locations

3158 Freedom Dr
Ste 3101
Charlotte, NC 28208

3158 Freedom Dr
Ste 1101
Charlotte, NC 28208
Phone (704) 971-8088

3033 Eastway Dr
Ste 201
Charlotte, NC 28205
Phone (704) 316-4517

1300 Baxter St
Ste 215
Charlotte, NC 28204

3158 Freedom Dr
Ste 3102
Charlotte, NC 28208
Phone (704) 731-6857

2711 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 342-1900

928 Baxter St
Charlotte, NC 28204
Phone (704) 348-2950

2544 Court Dr
Ste F
Gastonia, NC 28054
Phone (704) 864-8302

1975 Carolna Place Dr
Fort Mill, SC 29708
Phone (803) 802-3027

Interoperability endpoints

  • Direct secure messaging: daudette66432@direct.acumenmd.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1346752375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3158 FREEDOM DR STE 3102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282080014",
            "telephone_number": "704-971-7099",
            "fax_number": "704-971-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3158 FREEDOM DR STE 3102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282080014",
            "telephone_number": "704-348-2992",
            "fax_number": "704-334-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUDETTE",
        "first_name": "DIANNE",
        "middle_name": "SINCLAIR",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "5010022",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daudette66432@direct.acumenmd.com",
            "affiliation": "N",
            "endpointDescription": "Acumen Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3158 Freedom Dr Ste 3102",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282080014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.