NPIMap

Organization Active NPI

Jeremy Ferron Stroud

  • Clinic/Center
  • Kennewick, WA
National Provider Identifier
1770263154
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
JEREMY FERRON STROUD
Practice address
7411 W Clearwater Ave Ste B
Kennewick, WA 99336-1683
Phone
(833) 458-5209
Fax
(207) 819-3734
NPI assigned
Jul 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Jeremy StroudNPI 1033845896
Title
Owner/ Provider
Phone
(509) 396-4538

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

7411 W Clearwater Ave Ste B
Kennewick, WA 99336-1683

Mailing address

1416 Fries St
Richland, WA 99352-3958

Other names 1

  • Fancy Flamingo Massage Doing business as

National Provider Directory

National Provider Directory

Locations

8514 W Gage Blvd
Ofc 2
Kennewick, WA 99336

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1770263154",
    "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": "7411 W CLEARWATER AVE STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361683",
            "telephone_number": "833-458-5209",
            "fax_number": "207-819-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY FERRON STROUD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "STROUD",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "509-396-4538"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fancy Flamingo Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.