Individual provider Active NPI

Michele Medley, FSP

  • Social Worker
  • Oklahoma City, OK
National Provider Identifier
1013672880
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
21704 Issued in OK
Practice address
4334 NW Expressway Ste N297
Oklahoma City, OK 73116-1578
Phone
(405) 810-5554
Fax
(855) 313-3884
NPI assigned
Nov 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X OK
Peer Specialist 175T00000X
Social Worker 104100000X 21704 OK Primary

Addresses

Primary practice location

4334 NW Expressway Ste N297
Oklahoma City, OK 73116-1578

Mailing address

14817 Slippery Falls Cir
Oklahoma City, OK 73142-9712
Phone (405) 887-6243

Other practice location 1

1120 E Main St
Norman, OK 73071-5300
Phone (405) 360-5100

Other names 1

  • Michi Medley Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21704OKMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
State of Oklahoma CurrentSince Jun 9, 2024 Accepting new patients

Locations

1120 E Main St
Norman, OK 73071
Phone (405) 573-3518

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": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1013672880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14817 SLIPPERY FALLS CIR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731429712",
            "telephone_number": "405-887-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 NW EXPRESSWAY STE N297",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161578",
            "telephone_number": "405-810-5554",
            "fax_number": "855-313-3884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 E Main St",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730715300",
            "country_code": "US",
            "telephone_number": "405-360-5100",
            "fax_number": "531-777-7579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDLEY",
        "first_name": "MICHELE",
        "credential": "FSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": "21704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHI",
            "last_name": "MEDLEY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.