Active NPI
Michelle Lee Podboreski Finnin, AU.D.
- Audiologist
- Charlotte, NC
National Provider Identifier
1558444554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 7998
- Practice address
- 2711 Randolph Rd Ste 100
Charlotte, NC 28207-2027 - Phone
- (980) 302-8271
- NPI assigned
- Oct 23, 2006
- Last updated
- Nov 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 7998 | NC | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X |
Addresses
Primary practice location
2711 Randolph Rd Ste 100
Charlotte, NC 28207-2027
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mpodboreskifinnin46628@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7998 | NC | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group LLC | Current | Accepting new patients | |
| Novant Medical Group, Inc. | Past | Accepting new patients |
Locations
2711 Randolph Rd
Ste 100
Charlotte, NC 28207
Phone (704) 342-1900
Interoperability endpoints
- mpodboreskifinnin46628@direct.novanthealth.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba NHMG Rehabilitation Clinics
- Physical Rehabilitation Occupational Therapist
- Charlotte, NC
- NPI 1710609979
-
dba Mid Carolina Cardiology
- Interventional Cardiology Physician
- Charlotte, NC
- NPI 1205836434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1558444554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 RANDOLPH RD STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282072027",
"telephone_number": "980-302-8271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODBORESKI FINNIN",
"first_name": "MICHELLE",
"middle_name": "LEE",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "7998",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mpodboreskifinnin46628@direct.novanthealth.org",
"affiliation": "N",
"address_1": "125 Baldwin Ave Ste 100",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282043370",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.