Active NPI
Amber Brionna Gennie, ARNP
- Family Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1069130
- 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
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 | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amber.gennie.1@13711.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| 272603 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients | |
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients | |
| Covenant Medical Group LLC | Current | Accepting new patients | |
| Barrio Comprehensive Family Health Care Center, Inc. | Current | 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
- amber.gennie@746395612545028.direct.elationemr.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- San Antonio, TX
- NPI 1902883739
-
- Pulmonary Disease Physician
- Marietta, GA
- NPI 1194235853
-
- Federally Qualified Health Center (FQHC)
- San Marcos, TX
- NPI 1295601052
-
- Federally Qualified Health Center (FQHC)
- San Antonio, TX
- NPI 1427357458
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.