Individual provider Active NPI

Angelic Janee Dimicco

  • Speech-Language Pathologist
  • Auburn, WA
National Provider Identifier
1689537565
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1314 Auburn Way N
Auburn, WA 98002-4109
Phone
(253) 237-3405
NPI assigned
Dec 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X WA Primary

Addresses

Primary practice location

1314 Auburn Way N
Auburn, WA 98002-4109

Mailing address

8531 NE Juanita Dr
Kirkland, WA 98034-3524
Phone (425) 894-5440

Other names 1

  • A.J. Dimicco Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Creek Therapy PLLC Speech-Language Pathologist CurrentSince Dec 14, 2025 Accepting new patients

Locations

1314 Auburn Way N
Auburn, WA 98002
Phone (253) 237-3405

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1689537565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8531 NE JUANITA DR",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343524",
            "telephone_number": "425-894-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 AUBURN WAY N",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024109",
            "telephone_number": "253-237-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMICCO",
        "first_name": "ANGELIC",
        "middle_name": "JANEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A.J.",
            "last_name": "DIMICCO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.