Individual provider Active NPI

Deborah Locke, PA

  • Physician Assistant
  • Tempe, AZ
National Provider Identifier
1942637103
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5493 Issued in AZ
Practice address
9920 S Rural Rd # a-108
Tempe, AZ 85284-4100
Phone
(480) 677-8282
Fax
(888) 316-1686
NPI assigned
Oct 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5493 AZ
Medical Physician Assistant 363AM0700X 016897-1 NY
Physician Assistant 363A00000X 5493 AZ Primary

Addresses

Primary practice location

9920 S Rural Rd # a-108
Tempe, AZ 85284-4100

Mailing address

261 N Roosevelt Ave
Chandler, AZ 85226-2617
Phone (480) 677-8282

Other identifiers 1

IdentifierTypeStateIssuer
125076MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140226001764 AZ Practitioner - Physician Assistant 3375773955 Reassigns benefits to 3 organizations
I20180516000438 NY Practitioner - Physician Assistant 3375773955

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Arizona LLCGroup PAC ID 4981797982, 43 clinicians

Practice addresses (Care Compare)

2724 S Signal Butte Rd
Mesa, AZ 85209-2104
Phone (480) 481-7210

2727 W Bell Rd
Phoenix, AZ 85053-3059
Phone (602) 680-2386

9900 S Rural Rd
Tempe, AZ 85284-4116
Phone (480) 783-6257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5493AZMDFamily Medicine Physician
016897-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Arizona LLC Physician Assistant CurrentSince Jul 24, 2025 Accepting new patients
Empower Green Valley PLLC Past Accepting new patients
Good Health Medical, PLLC PastSince Aug 11, 2024 Accepting new patients

Locations

2727 W Bell Rd
Phoenix, AZ 85053
Phone (602) 680-2386

9900 S Rural Rd
Tempe, AZ 85284
Phone (480) 783-6233

Interoperability endpoints

  • Direct secure messaging: deborah.locke@krogerhealth.eclinicaldirectplus.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": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1942637103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262617",
            "telephone_number": "480-677-8282",
            "fax_number": "888-316-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 S RURAL RD # A-108",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852844100",
            "telephone_number": "480-677-8282",
            "fax_number": "888-316-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "DEBORAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5493",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "016897-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125076",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.