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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MRS. MARISSA DANIELLE MCLOCKHART
NPI 1417869421
Physician Assistant in Phoenix, AZ

Active since September 22, 2026
3100 N CENTRAL AVE, PHOENIX, AZ 85012(602) 812-4312 Get Directions Write a Review

NPPES record added: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mrs. Marissa Danielle Mclockhart NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARISSA DANIELLE MCLOCKHART (NPI 1417869421) is an individual physician assistant in Phoenix, Arizona and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1417869421
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MARISSA DANIELLE MCLOCKHART
Location Address3100 N CENTRAL AVEPhoenix, AZ 85012-2637
Mailing Address3100 N Central AvePhoenix, AZ 85012-2637
Phone(602) 812-4312
Sole ProprietorNo
Enumeration DateSeptember 22, 2026
NPPES CertifiedSeptember 22, 2026
✔ NPI 1417869421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3100 N CENTRAL AVE, Phoenix, AZ 85012
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNY B NGUYEN
Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Maricopa County (623) 552-1688
RAJAN JAY PARIKH
Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Maricopa County (602) 812-4312
MARY JANE RISCH MD
Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Maricopa County (602) 812-4312
JONATHAN BRAAT
Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Maricopa County (602) 812-4312
AMBER KUSEK
Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Maricopa County (602) 812-4312
ALLISON LU
Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Maricopa County (602) 812-4312
JAKE SHANEYFELT
Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Maricopa County (602) 812-4312
MS. MADISON LEIGH CAWTHON PA-C
Physician Assistant
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Maricopa County (602) 881-3836

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Mclockhart's NPI number?

The NPI number for Marissa Mclockhart is 1417869421. It was assigned to this individual provider in the NPPES registry on September 22, 2026.

Where is Marissa Mclockhart located?

Marissa Mclockhart practices at 3100 N Central Ave, Phoenix, AZ 85012. The listed phone number is (602) 812-4312.

What is Marissa Mclockhart's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Marissa Mclockhart was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.