Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alice P Blake

Individual provider Internal Medicine Physician · NPI 1508805078

Alice P Blake is an Internal Medicine in Boise, Idaho. Graduated from State University of New York Downstate Medical Center in 1985, 41 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
41
Trained at
State University of New York Downstate Medical Center
Licensed in
ID
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

222 N 2nd St Ste 304
Boise, ID 83702-6131
Phone: (208) 342-7722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence M5730 (ID)
Pediatrics Physician Taxonomy 208000000X · Licence M-5730 (ID)

Record details

NPI number1508805078
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESJune 10, 2021
Certification dateJune 8, 2021
Mailing address222 N 2nd St Ste 304, Boise, ID 83702-6131

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Boise