Shelly L Venters-Jacobs, MD

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

18018 Issued in OK

Practice address

220 S Littler Ave
Edmond, OK 73034-3856

Phone

(405) 757-4643

NPI assigned

Oct 20, 2006

Last updated

Mar 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shelly Laura Jacobs Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shelly Jacobs MD PLLC

  dba Suboxone and Wellness Clinic

  • Substance Abuse Rehabilitation Facility
  • Oklahoma City, OK
  • NPI 1770204364
  NPD
• Bobby R Jacobs MD PC

  • Internal Medicine Physician
  • Oklahoma City, OK
  • NPI 1780802165
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1841372349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 N PORTLAND AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731162012",
            "telephone_number": "405-757-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S LITTLER AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343856",
            "telephone_number": "405-757-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTERS-JACOBS",
        "first_name": "SHELLY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OK",
            "license": "18018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "JACOBS",
            "middle_name": "LAURA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacqueline Velez-Waleed
• Venerate Behavioral Health
• Venerate Behavioral Health Services
• Venerate Behavioral Services
• Vincent David Venincasa, M.D.
• Vera Dermatology, LLC
• Kayuri Jignesh Veragiwala, MPT
• Verite Counseling
• Travis Hunter Vernier
• Bettina Veronneau, MD

• Addiction Medicine (Internal Medicine) Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Addiction Medicine (Internal Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.