Ketchikan Functional Medicine

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

KETCHIKAN FUNCTIONAL MEDICINE

Practice address

3159 Tongass Ave
Ketchikan, AK 99901-5745

Phone

(907) 225-4001

Fax

(907) 225-4006

NPI assigned

Jul 29, 2026

Organization subpart

No

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

Authorized official

Name

Mary Beth Patterson, APRN, FNP-C

Title

Owner

Phone

(520) 981-3725

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1245152149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 TONGASS AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015745",
            "telephone_number": "907-225-4001",
            "fax_number": "907-225-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3159 TONGASS AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015745",
            "telephone_number": "907-225-4001",
            "fax_number": "907-225-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETCHIKAN FUNCTIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-981-3725",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Kessler
• Alice Ketah
• Ketchikan Dental
• Ketchikan Emergency Physicians, LLC
• Ketchikan Eye Care Center, L.L.C.
• Ketchikan Gateway Borough
• Ketchikan Gateway Borough School District
• Ketchikan Indian Community
• Ketchikan Indian Corporation
• Ketchikan Indian Corporation

• Health Service Clinic/Center in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Health Service Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.