{"npi":"1386980761","type":"NPI-1","status":"active","name":{"display":"Whitney Jacky AU.D.","other":[{"code":"1","type":"Formerly known as","value":"OTTESON, WHITNEY KATHLEEN"}],"first":"WHITNEY","last":"JACKY","middle":"KATHLEEN","credential":"AU.D."},"specialty":{"primary_taxonomy":"231H00000X","primary_taxonomy_description":"Audiologist","slug":"audiologist","schema_org_specialty":null,"all":[{"code":"237600000X","description":"Audiologist-Hearing Aid Fitter","primary":false,"state":"WA","license":"LD60285618"},{"code":"231H00000X","description":"Audiologist","primary":true,"state":"WA","license":"LD60285618"}]},"addresses":[{"purpose":"LOCATION","street_1":"614 E ALDER ST STE 2","city":"WALLA WALLA","state":"WA","postal_code":"993622073","country_code":"US","phone":"5098760555","fax":"5098760556"},{"purpose":"MAILING","street_1":"614 E ALDER ST STE 2","city":"WALLA WALLA","state":"WA","postal_code":"993622073","country_code":"US","phone":"5098760555","fax":"5098760556"}],"license":{"state":"WA","number":"LD60285618"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1336318310","state":"WA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20140306001201","type_code":"14-64","type_desc":"PRACTITIONER - QUALIFIED AUDIOLOGIST","state":"WA","pac_id":"7113157405"}]},"enumeration_date":"2012-12-12","last_updated":"2025-06-24","_meta":{"source":"NPPES","snapshot_date":"2025-06-24","doc_url":"https://findmynpi.com/api"}}