Active NPI
La Reshia Nichole Okubena, APRN
- Family Nurse Practitioner
- Valdosta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4016204
- Practice address
- 212 Northside Dr
Valdosta, GA 31602-1858 - Phone
- (229) 242-3060
- NPI assigned
- Feb 13, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4016204 | KY | Primary |
| Family Nurse Practitioner | 363LF0000X | 15470 | CT |
Addresses
Primary practice location
212 Northside Dr
Valdosta, GA 31602-1858
Mailing address
212 Northside Dr
Valdosta, GA 31602-1858
Phone (229) 242-3060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
713 Main St
Suite a
Shelbyville, KY 40065-1239
Phone (804) 877-6601
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15470 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHM Mobile Care | Current | Accepting new patients | |
| Molina Care Connections, LLC. | Current | Accepting new patients | |
| Provider Partners Care Management LP | Current | Accepting new patients | |
| Abode Care Partners Al VB, LLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Abode Care Partners LTC VB, LLC | Current | Accepting new patients | |
| Abode Care Partners LTC VB, LLC | Current | Accepting new patients | |
| SHC Medical Partners of Kentucky, LLC | Current | Accepting new patients | |
| Abode Care Partners Al VB, LLC | Current | Accepting new patients | |
| Exceptional Care Services LLC | Family | Current | Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
175 Scott Swamp Rd
Farmington, CT 06032
Phone (860) 249-6752
1050 Chinoe Rd
Ste 350
Lexington, KY 40502
Phone (606) 275-9869
3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727
2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560
12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
446 Mount Holly Ave
Louisville, KY 40206
Phone (502) 897-1646
1801 Lynn Way
Louisville, KY 40222
Phone (502) 262-5172
5100 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 305-6267
805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438
805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000
713 Main St
Ste A
Shelbyville, KY 40065
Phone (804) 877-6601
58 Eastham St
Vanceburg, KY 41179
Phone (606) 796-3046
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- lokubena19509@direct-prd.molinahealthcare.com
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Shelbyville, KY
- NPI 1568348225
-
- Nurse Practitioner
- Louisville, KY
- NPI 1992574354
-
- Nurse Practitioner
- Louisville, KY
- NPI 1447029798
-
- Nurse Practitioner
- Louisville, KY
- NPI 1417132614
-
- Nurse Practitioner
- Texarkana, TX
- NPI 1528871126
-
- Nurse Practitioner
- Ridgeland, MS
- NPI 1992518591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1841054467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 NORTHSIDE DR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021858",
"telephone_number": "229-242-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 NORTHSIDE DR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021858",
"telephone_number": "229-242-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKUBENA",
"first_name": "LA RESHIA",
"middle_name": "NICHOLE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-13",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4016204",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "15470",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.