Individual provider Active NPI

Deborah Ester Kibwage, NP-C

  • Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1679166243
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28929 Issued in TN
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

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210226001788 TN Practitioner - Nurse Practitioner 1850706714 Reassigns benefits to 1 organization
I20210226002070 GA Practitioner - Nurse Practitioner 1850706714

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jun 1, 2024 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.

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

Verify at the official NPI Registry.