WHITNEY KATHLEEN JACKY (NPI# 1386980761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386980761 |
Entity Type | Individual |
Full Name | WHITNEY KATHLEEN JACKY |
Other Name | WHITNEY KATHLEEN OTTESON |
Credential | AU.D. |
Practice Address |
104b E Main St Walla Walla WA 99362-1924 |
Practice Telephone | 5098760555 |
Practice Fax Number | 5098760556 |
Mailing Telephone | 5098760555 |
Mailing Fax Number | 5098760556 |
Enumeration Date | 2012-12-12 |
Last Update Date | 2019-04-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 231H00000X | Audiologist | 60285618 | WA | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1336318310 | 05 |
Street Address |
104B E MAIN ST |
City | WALLA WALLA |
State | WA |
Zip Code | 99362-1924 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023321395 | Laura Christine Chapman | Hearing Instrument Specialist | 104b E Main St, Walla Walla, WA 99362 | 2010-07-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
Find all providers in zip 99362 |
Taxonomy Code | 231H00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Audiologist |
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740379361 | Mary Lou Yocum | Audiologist | 403 E Rose St, Walla Walla, WA 99362-1218 | 2006-10-12 |
1093190886 | Diana Fitzgerald | Audiologist | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2015-07-22 |
1982802138 | Maranatha Sims | Audiologist | 77 Wainwright Dr, Bldg. 69, Walla Walla, WA 99362-3975 | 2007-07-10 |
1285777102 | Aidah Esarey | Audiologist | 301 W Poplar St, Ste 210, Walla Walla, WA 99362-2858 | 2007-02-14 |
1588734206 | Joanne Price | Audiologist | 403 E Rose St, Walla Walla, WA 99362-1218 | 2006-11-09 |
1467463554 | Nicole Ann Kenny | Audiologist | 77 Wainwright Dr, Audiology 240, Walla Walla, WA 99362-3975 | 2006-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922618719 | Eric Casey Kinney | Audiologist | 4815 N Assembly St Bldg 41, Spokane, WA 99205-6185 | 2020-08-05 |
1205457413 | Jacob T Barber | Audiologist | 19319 7th Ave Ne Ste 102, Poulsbo, WA 98370-7442 | 2020-04-28 |
1164071205 | Richard Grant Nielsen | Audiologist | 8102 W Grandridge Blvd Ste A, Kennewick, WA 99336-7157 | 2019-09-11 |
1154979045 | Kindra Veith | Audiologist | 10564 5th Ave Ne Ste 203, Seattle, WA 98125-7200 | 2019-09-03 |
1659933893 | Sara Marie Sommers | Audiologist | 8830 Tallon Ln Ne Ste D, Lacey, WA 98516-6657 | 2019-07-08 |
1841759230 | Hayden Bruce | Audiologist | 538 N 5th Ave, Sequim, WA 98382-3079 | 2019-03-15 |
1235623133 | Ashley Loney | Audiologist | 4750 32nd Ave S Apt 110, Seattle, WA 98118-2226 | 2018-06-14 |
1720570641 | Anne Glashan | Audiologist | 1901 S 72nd St Ste A-14, Tacoma, WA 98408-1200 | 2018-06-06 |
1811497100 | Lin Kowitz | Audiologist | 13935 103rd Ave Ne, Kirkland, WA 98034-5220 | 2018-02-13 |
1073037495 | Cory A Scott | Audiologist | 600 Broadway Ste 230, Seattle, WA 98122-7425 | 2017-07-27 |
Find all providers with the same taxonomy |
City | WALLA WALLA |
Zip Code | 99362 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.