Individual provider Active NPI

La Reshia Nichole Okubena, APRN

  • Family Nurse Practitioner
  • Valdosta, GA
National Provider Identifier
1841054467
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4016204 Issued in KY
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

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CT2 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
I20240528003097 KY Practitioner - Nurse Practitioner 1456793025 Reassigns benefits to 8 organizations
I20251023000807 CT Practitioner - Nurse Practitioner 1456793025 Reassigns benefits to 1 organization

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
CHM Mobile CareGroup PAC ID 8921505918, 9 clinicians

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

LicenseStateTypeSpecialty
15470CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CHM Mobile Care CurrentSince Mar 9, 2026 Accepting new patients
Molina Care Connections, LLC. CurrentSince Jul 28, 2025 Accepting new patients
Provider Partners Care Management LP CurrentSince Jul 1, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Sep 9, 2024 Accepting new patients
Signify Health, LLC CurrentSince Apr 10, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Sep 9, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Sep 9, 2024 Accepting new patients
SHC Medical Partners of Kentucky, LLC CurrentSince Sep 9, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Sep 9, 2024 Accepting new patients
Exceptional Care Services LLC Family CurrentSince May 27, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.