Individual provider Active NPI

Bosede Omolara Babalola-Adejokun, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1659989549
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11009821 Issued in FL
Practice address
111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone
(404) 909-5170
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95038483 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN219165 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11009821 FL Primary

Addresses

Primary practice location

111 N Orange Ave Ste 800
Orlando, FL 32801-2381

Mailing address

111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (404) 909-5170

Other practice location 1

5449 S Semoran Blvd Ste 237
Orlando, FL 32822-1780
Phone (404) 909-5170

Other practice location 2

1326 H St Ste 25A
Bakersfield, CA 93301-5134
Phone (661) 310-3688

Other identifiers 1

IdentifierTypeStateIssuer
108896700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 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
I20210922001282 FL Practitioner - Nurse Practitioner 3173920824 Reassigns benefits to 3 organizations
I20250501002202 GA Practitioner - Nurse Practitioner 3173920824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1326 H St
Suite 25a
Bakersfield, CA 93301-5134

1742 Spicebush CT
Orlando, FL 32828-6846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Health Partners, Inc. CurrentSince Feb 23, 2022 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Apr 21, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Sep 27, 2021 Accepting new patients
MCR Health, Inc. CurrentSince Sep 27, 2021 Accepting new patients
Lakeland Regional Health Systems, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Inner Balance Online PLLC Current Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Apr 21, 2025 Accepting new patients

Locations

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3030 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1222

1800 Mercy Dr
Orlando, FL 32808
Phone (407) 295-5151

5151 Adanson St
Ste 201
Orlando, FL 32804
Phone (407) 494-1509

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

Organizations & group practices 7

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": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1659989549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N ORANGE AVE STE 800",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012381",
            "telephone_number": "404-909-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N ORANGE AVE STE 800",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012381",
            "telephone_number": "404-909-5170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5449 S Semoran Blvd Ste 237",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328221780",
            "country_code": "US",
            "telephone_number": "404-909-5170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1326 H St Ste 25A",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933015134",
            "country_code": "US",
            "telephone_number": "661-310-3688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABALOLA-ADEJOKUN",
        "first_name": "BOSEDE",
        "middle_name": "OMOLARA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95038483",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN219165",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11009821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108896700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.