1. Home
  2. Directory
  3. Alaska
  4. Ketchikan
  5. Clinic Center
  6. NPI Profile

KETCHIKAN FUNCTIONAL MEDICINE
NPI 1245152149
Clinic/Center - Health Service in Ketchikan, AK

Active since July 29, 2026
3159 TONGASS AVE, KETCHIKAN, AK 99901(907) 225-4001(907) 225-4006 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ketchikan Functional Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETCHIKAN FUNCTIONAL MEDICINE (NPI 1245152149) is a healthcare organization registered as a health service in Ketchikan, Alaska and active in the NPI registry since July 2026. The organization lists Mary Beth Patterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1245152149
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameKETCHIKAN FUNCTIONAL MEDICINE
Location Address3159 TONGASS AVEKetchikan, AK 99901-5745
Mailing Address3159 Tongass AveKetchikan, AK 99901-5745 · (907) 225-4001 · Fax (907) 225-4006
Phone(907) 225-4001
Fax(907) 225-4006
Organization SubpartNo
Authorized OfficialMary Beth PattersonOwner · (520) 981-3725
Enumeration DateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1245152149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
3159 TONGASS AVE, Ketchikan, AK 99901
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IDEAL OPTION, PLLC
Clinic/Center
3159 TONGASS AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (877) 522-1275

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketchikan Functional Medicine's NPI number?

The NPI number for Ketchikan Functional Medicine is 1245152149. It was assigned to this organization in the NPPES registry on July 29, 2026.

Where is Ketchikan Functional Medicine located?

Ketchikan Functional Medicine is located at 3159 Tongass Ave, Ketchikan, AK 99901. The listed phone number is (907) 225-4001.

What is Ketchikan Functional Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

What insurance does Ketchikan Functional Medicine accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Ketchikan Functional Medicine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ketchikan Functional Medicine was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.