Active NPI
Deborah Ester Kibwage, NP-C
- Nurse Practitioner
- Cleveland, TN
National Provider Identifier
1679166243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 28929
- Practice address
- 2163 N Ocoee St
Cleveland, TN 37311-3920 - Phone
- (865) 443-5514
- Fax
- (423) 709-0261
- NPI assigned
- Feb 15, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28929 | TN | Primary |
Addresses
Primary practice location
2163 N Ocoee St
Cleveland, TN 37311-3920
Mailing address
2163 N Ocoee St
Cleveland, TN 37311-3920
Phone (865) 443-5514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
Locations
300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 1
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.
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
Nurse Practitioner, TN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1679166243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2163 N OCOEE ST",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373113920",
"telephone_number": "865-443-5514",
"fax_number": "423-709-0261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2163 N OCOEE ST",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373113920",
"telephone_number": "865-443-5514",
"fax_number": "423-709-0261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIBWAGE",
"first_name": "DEBORAH",
"middle_name": "ESTER",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-15",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "28929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.