Active NPI
Shola Philip Akinfiresoye, DNP, FNP-BC
- Family Nurse Practitioner
- Duncanville, TX
National Provider Identifier
1104339373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP134810
- Practice address
- 609 S Main St
Duncanville, TX 75116-4713 - Phone
- (682) 472-2607
- NPI assigned
- Nov 10, 2017
- Last updated
- Jul 10, 2025
- Sex
- Male
- 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 Medicine Physician | 207Q00000X | AP134810 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP134810 | TX | Primary |
Addresses
Primary practice location
609 S Main St
Duncanville, TX 75116-4713
Mailing address
2024 Limestone Dr
Grand Prairie, TX 75052-2693
Phone (682) 472-2607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP134810 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GLC Wellness Center Texas LLC | Current | Accepting new patients | |
| Golden Life Wellness Center DFW LLC | Family Medicine | Past | Accepting new patients |
Locations
4801 S Cooper St
Ste 401
Arlington, TX 76017
Phone (817) 813-7100
777 E Wheatland Rd
Ste 106
Duncanville, TX 75116
Phone (702) 587-8106
Organizations & group practices 3
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.
-
- General Practice Physician
- Duncanville, TX
- NPI 1700433653
-
- Clinic/Center
- Duncanville, TX
- NPI 1619583754
-
- Family Medicine Physician
- Arlington, TX
- NPI 1265321160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1104339373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 LIMESTONE DR",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750522693",
"telephone_number": "682-472-2607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 S MAIN ST",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751164713",
"telephone_number": "682-472-2607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKINFIRESOYE",
"first_name": "SHOLA",
"middle_name": "PHILIP",
"credential": "DNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-10",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "AP134810",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP134810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duncanville, TX
- Afridi Heart Care, P.L.L.C.
- Imran Afridi, M.D.
- Agape Physical Medicine and Weight Management
- Marisa Cruz Aguillon, RD, LD, CDCES
- Patrice E Aisola
- Patricia Johnson Alaman, LPC-Intern
- Brittny Alexander
- Lakeisha Alexander, FNP
- All in One Health Services LLC (A Wonderful Place)
- All Saints Care Injury & Rehabilitation Clinic Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.