Whitney Kathleen Jacky, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

LD60285618 Issued in WA

Practice address

614 E Alder St Ste 2
Walla Walla, WA 99362-2073

Phone

(509) 876-0555

Fax

(509) 876-0556

NPI assigned

Dec 12, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Whitney Kathleen Otteson Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Horizon Hearing & Tinnitus LLC

  • Audiologist
  • Walla Walla, WA
  • NPI 1487440178
  Medicare reassignment NPD Authorized official
• Highline Audiology PC

  • Audiologist
  • Burien, WA
  • NPI 1891846499
  NPD (past)

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1386980761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E ALDER ST STE 2",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622073",
            "telephone_number": "509-876-0555",
            "fax_number": "509-876-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 E ALDER ST STE 2",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622073",
            "telephone_number": "509-876-0555",
            "fax_number": "509-876-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKY",
        "first_name": "WHITNEY",
        "middle_name": "KATHLEEN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD60285618",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD60285618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336318310",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "OTTESON",
            "middle_name": "KATHLEEN",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carol Louise Irwin, LICSW
• Kenneth H Z Isaacs, MD
• Janaki Iyer
• Richard N Jacks, PHD
• Kathleen Marie Jackson, RN
• Jamie M Coleman MD
• Eric J Jauhiainen, M.D.
• Christopher K Jenkins, DO
• Jake Lee Jennings, DPT
• Melanie Anne Jensen

• Audiologist in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Audiologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.