Active NPI
Dianne W Shearon, COTA/L
- Occupational Therapy Assistant
- Warrenton, NC
National Provider Identifier
1881527596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0554
- Practice address
- 203 Cousin Lucys LN
Warrenton, NC 27589-2105 - Phone
- (252) 257-3184
- NPI assigned
- Jun 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0554 | NC | Primary |
Addresses
Primary practice location
203 Cousin Lucys LN
Warrenton, NC 27589-2105
Mailing address
203 Cousin Lucys LN
Warrenton, NC 27589-2105
Phone (252) 257-3184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0554 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1881527596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 COUSIN LUCYS LN",
"city": "WARRENTON",
"state": "NC",
"postal_code": "275892105",
"telephone_number": "252-257-3184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 COUSIN LUCYS LN",
"city": "WARRENTON",
"state": "NC",
"postal_code": "275892105",
"telephone_number": "252-257-3184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEARON",
"first_name": "DIANNE",
"middle_name": "W",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-04",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "0554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrenton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.