Individual provider Active NPI

Stacey Blannett, DO

  • Dermatology Physician
  • Allentown, PA
National Provider Identifier
1891445433
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS035526 Issued in PA
Practice address
1259 S Cedar Crest Blvd Ste 100
Allentown, PA 18103-6373
Phone
(610) 437-4134
Fax
(610) 433-9690
NPI assigned
Mar 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS035526 PA Primary

Addresses

Primary practice location

1259 S Cedar Crest Blvd Ste 100
Allentown, PA 18103-6373

Mailing address

1259 S Cedar Crest Blvd
Allentown, PA 18103-6372
Phone (610) 437-4134

Other practice location 1

700 Schuylkill Manor Rd Ste 5
Pottsville, PA 17901-3849
Phone (570) 622-6804

Other practice location 2

236 Brodhead Rd
Bethlehem, PA 18017-8924
Phone (610) 437-4134

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sblannett@adaltd.emadirect.md Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250730003174 PA Order and Referring Only - DermatologyPractitioner - Dermatology 3971010273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology Associates, LTD. Dermatology PastSince Aug 1, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sblannett2118952@direct.trinity-health.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1648252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1891445433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 S CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036372",
            "telephone_number": "610-437-4134",
            "fax_number": "610-770-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 S CEDAR CREST BLVD STE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036373",
            "telephone_number": "610-437-4134",
            "fax_number": "610-433-9690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Schuylkill Manor Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "179013849",
            "country_code": "US",
            "telephone_number": "570-622-6804",
            "fax_number": "570-622-3385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "236 Brodhead Rd",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180178924",
            "country_code": "US",
            "telephone_number": "610-437-4134",
            "fax_number": "610-770-0993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANNETT",
        "first_name": "STACEY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-26",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "OS035526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sblannett@adaltd.emadirect.md",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1259 S Cedar Crest Blvd Ste 100",
            "city": "Allentown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181036373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.