Active NPI
Vincent Reyes Penilla, FNP
- Family Nurse Practitioner
- Arlington, TX
National Provider Identifier
1760337315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1222972
- Practice address
- 2818 Grand Lookout LN
Arlington, TX 76001-4600 - Phone
- (432) 935-0738
- NPI assigned
- Feb 27, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1222972 | TX | Primary |
Addresses
Primary practice location
2818 Grand Lookout LN
Arlington, TX 76001-4600
Mailing address
2818 Grand Lookout LN
Arlington, TX 76001-4600
Phone (432) 935-0738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1222972 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1760337315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2818 GRAND LOOKOUT LN",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760014600",
"telephone_number": "432-935-0738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2818 GRAND LOOKOUT LN",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760014600",
"telephone_number": "432-935-0738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENILLA",
"first_name": "VINCENT",
"middle_name": "REYES",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-27",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1222972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.