OMOLOLA L KILANIBALA APRN
NPI 1770383069
Nurse Practitioner - Psychiatric/Mental Health in Daytona Beach, FL

Active since March 15, 2025
425 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114(386) 425-4080 Get Directions Write a Review

NPPES record last updated: March 15, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Omolola L Kilanibala Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMOLOLA L KILANIBALA APRN (NPI 1770383069) is an individual psychiatric/mental health provider in Daytona Beach, Florida, licensed in Florida (11037118) and active in the NPI registry since March 2025. She maintains a secondary practice location in Daytona Beach.

NPPES Registry Identity

NPI1770383069
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameOMOLOLA L KILANIBALACredential: APRN
Location Address425 N CLYDE MORRIS BLVDDaytona Beach, FL 32114-2730
Mailing Address303 N Clyde Morris BlvdDaytona Beach, FL 32114-2709 · (386) 425-4080
Sole ProprietorNo
Enumeration DateMarch 15, 2025
NPPES CertifiedMarch 15, 2025
✔ NPI 1770383069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · 11037118
425 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114

Secondary Practice Location 1

Location 1303 N Clyde Morris BlvdDaytona Beach, FL 32114-2709 · Phone (386) 425-4080

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
425 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omolola Kilanibala's NPI number?

The NPI number for Omolola Kilanibala is 1770383069. It was assigned to this individual provider in the NPPES registry on March 15, 2025.

Where is Omolola Kilanibala located?

Omolola Kilanibala practices at 425 N Clyde Morris Blvd, Daytona Beach, FL 32114. The listed phone number is (386) 425-4080.

What is Omolola Kilanibala's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Omolola Kilanibala was last updated on March 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.