Individual provider Active NPI

Danielle Banaszynski, AUD, CCC-A

  • Audiologist
  • Waukesha, WI
National Provider Identifier
1184455354
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1079-156 Issued in WI
Practice address
1111 Delafield St Ste 102
Waukesha, WI 53188-3402
Phone
(262) 549-5150
NPI assigned
Aug 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1079-156 WI Primary

Addresses

Primary practice location

1111 Delafield St Ste 102
Waukesha, WI 53188-3402

Mailing address

1111 Delafield St Ste 102
Waukesha, WI 53188-3402
Phone (262) 549-5150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828002555 WI Practitioner - Qualified Audiologist 3870032352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moreland Ear Nose and Throat Group LTDGroup PAC ID 4284605494, 13 clinicians

Practice addresses (Care Compare)

1111 Delafield St
Suite 102
Waukesha, WI 53188-3402
Phone (262) 547-1614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1079-156WIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Moreland Ear Nose & Throat Group LTD CurrentSince Aug 13, 2024 Accepting new patients

Locations

240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900

1185 Corporate Center Dr
Ste 205
Oconomowoc, WI 53066
Phone (262) 560-0760

1111 Delafield St
Ste 102
Waukesha, WI 53188
Phone (262) 547-1614

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": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1184455354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST STE 102",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883402",
            "telephone_number": "262-549-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST STE 102",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883402",
            "telephone_number": "262-549-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANASZYNSKI",
        "first_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "1079-156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.