Kimberly Muckleroy, M.S., CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12119912 Issued in TX

Practice address

12597 W State Highway 21
Douglass, TX 75943-4336

Phone

(936) 715-7123

NPI assigned

Jan 7, 2009

Last updated

Aug 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kimberly Muckleroy Di Donato Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1821235227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12597 W STATE HIGHWAY 21",
            "city": "DOUGLASS",
            "state": "TX",
            "postal_code": "759434336",
            "telephone_number": "936-715-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12597 W STATE HIGHWAY 21",
            "city": "DOUGLASS",
            "state": "TX",
            "postal_code": "759434336",
            "telephone_number": "936-715-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCKLEROY",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "12119912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "DI DONATO",
            "middle_name": "MUCKLEROY",
            "prefix": "MS.",
            "credential": "M.S., CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Guadalupe Aparicio
• Erin Elizabeth Davis, LVN
• Douglass Isd
• Cynthia Robinson, FNP-C
• Stonewall Community Center (Stonewall Center)
• Beatrice A Upshaw, OTR

• Speech-Language Pathologist in Douglass, TX
• Providers in Douglass, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.