Individual provider Active NPI

Amber Brionna Gennie, ARNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1982197877
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1069130 Issued in TX
Practice address
9080 Marbach Rd
San Antonio, TX 78245-1810
Phone
(210) 436-8400
Fax
(833) 452-1052
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 272603 GA
Family Nurse Practitioner 363LF0000X 1069130 TX Primary

Addresses

Primary practice location

9080 Marbach Rd
San Antonio, TX 78245-1810

Mailing address

9080 Marbach Rd
San Antonio, TX 78245-1810
Phone (210) 436-8400

Other practice location 1

201 Avera Dr
Fort Valley, GA 31030-5008
Phone (478) 825-3317

Other practice location 2

8530 Fm 78
Converse, TX 78109-1032
Phone (210) 436-8400

Other names 1

  • Ms. Amber Brionna Mann Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amber.gennie.1@13711.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200318000742 GA Practitioner - Nurse Practitioner 9638507015 Reassigns benefits to 2 organizations
I20220405000761 TX Practitioner - Nurse Practitioner 9638507015 Reassigns benefits to 2 organizations
I20251010000722 FL Practitioner - Nurse Practitioner 9638507015

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida State University College of Medicine, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
272603GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Feb 26, 2024 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. Current Accepting new patients
Covenant Medical Group LLC CurrentSince Jan 1, 2026 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Feb 26, 2024 Accepting new patients

Locations

483 Upper Riverdale Rd SW
Ste L
Riverdale, GA 30274
Phone (770) 742-3883

3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062

1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513

Interoperability endpoints

  • Direct secure messaging: amber.gennie@746395612545028.direct.elationemr.com
  • Direct secure messaging: amber.gennie.1@13711.direct.athenahealth.com

Organizations & group practices 5

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": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1982197877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9080 MARBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451810",
            "telephone_number": "210-436-8400",
            "fax_number": "833-452-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9080 MARBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451810",
            "telephone_number": "210-436-8400",
            "fax_number": "833-452-1052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Avera Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Valley",
            "state": "GA",
            "postal_code": "310305008",
            "country_code": "US",
            "telephone_number": "478-825-3317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8530 Fm 78",
            "address_purpose": "LOCATION",
            "city": "Converse",
            "state": "TX",
            "postal_code": "781091032",
            "country_code": "US",
            "telephone_number": "210-436-8400",
            "fax_number": "833-452-1052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENNIE",
        "first_name": "AMBER",
        "middle_name": "BRIONNA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "272603",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1069130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amber.gennie.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "9080 Marbach Rd",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782451810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "MANN",
            "middle_name": "BRIONNA",
            "prefix": "MS.",
            "credential": "ANRP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.