Individual provider Active NPI

Diana Lynn Cooper, FNP-C

  • Family Nurse Practitioner
  • Weston, WV
National Provider Identifier
1356969927
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
105664 Issued in WV
Practice address
107 Staunton Dr # a
Weston, WV 26452-5604
Phone
(304) 269-2022
Fax
(304) 269-2037
NPI assigned
Jul 10, 2020
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 105664 WV Primary

Addresses

Primary practice location

107 Staunton Dr # a
Weston, WV 26452-5604

Mailing address

107 Staunton Dr # a
Weston, WV 26452-5604
Phone (304) 269-2022

Other names 1

  • Diana Lynn Davis Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200831001660 WV Practitioner - Nurse Practitioner 5395162762 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care of West Virginia, Inc.Group PAC ID 0446232987, shared by 74 NPIs, 89 clinicians

Practice addresses (Care Compare)

107 Staunton Dr
Weston, WV 26452-5604
Phone (304) 269-2022

266 Skidmore LN
Sutton, WV 26601-9271
Phone (304) 765-0351

33 37 W Main St
Buckhannon, WV 26201-2235
Phone (304) 473-5600

4 Northridge Dr
Suite 118
Buckhannon, WV 26201-8484
Phone (304) 473-5661

700 Oakmound Rd
Clarksburg, WV 26301-9398
Phone (304) 623-3874

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105664WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care of West Virginia, Inc. CurrentSince Jul 28, 2020 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Nov 5, 2023 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Feb 7, 2023 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia Inc CurrentSince Jul 28, 2020 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Nov 5, 2023 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Community Care of West Virginia Inc Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients

Locations

33 W Main St
Buckhannon, WV 26201

4 Northridge Dr
Ste 118
Buckhannon, WV 26201
Phone (304) 473-1440

77 W Main St
Buckhannon, WV 26201
Phone (304) 473-1440

700 Oakmound Rd
Clarksburg, WV 26301
Phone (304) 623-1330

266 Skidmore Ln
Sutton, WV 26601
Phone (304) 765-0351

107 Staunton Dr
Weston, WV 26452
Phone (304) 269-2022

107 Staunton Dr
#A
Weston, WV 26452
Phone (304) 269-2022

149 Staunton Dr
Weston, WV 26452
Phone (304) 269-2022

Interoperability endpoints

  • Direct secure messaging: diana.davis.1@4803.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1356969927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 STAUNTON DR # A",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264525604",
            "telephone_number": "304-269-2022",
            "fax_number": "304-269-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 STAUNTON DR # A",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264525604",
            "telephone_number": "304-269-2022",
            "fax_number": "304-269-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "105664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "DAVIS",
            "middle_name": "LYNN",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Weston, WV

Sources for this page

Verify at the official NPI Registry.