Jeremy Stroud

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61302112 Issued in WA

Practice address

1416 Fries St
Richland, WA 99352-3958

Phone

(509) 396-4538

NPI assigned

Jul 25, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Theology

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.

• Jeremy Ferron Stroud

  • Clinic/Center
  • Kennewick, WA
  • NPI 1770263154
  NPD Authorized official

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1033845896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 FRIES ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 FRIES ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523958",
            "telephone_number": "509-396-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUD",
        "first_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61302112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penney C Stringer
• Shannon Fives Stringer, MS, LMFT
• Kellen J Stromberg, D.O.
• Gary Strong, PA-C
• James A. Strong Jr., MD
• Donald Struthers
• Alecia C Sturgill, PA
• Kellyanne Margaret Suarez, FNP-BC
• Radhika K Subramanian, MD
• George William Such, D.C.

• Massage Therapist in Richland, WA
• Providers in Richland, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.