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Dr. Vivian Danita Rackliffe , DNP, FNP-C

Nurse Practitioner β€’ Conroe, TX

Active NPI 1790299626 Individual Practitioner Female Practitioner
Practice location in NPPES

100 Interstate 45 N Ste 152a
Conroe, TX 773012837

Call 8309985889 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

100 Interstate 45 N Ste 152a

Conroe, TX 773012837

Telephone 8309985889
Fax 8309985889
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Shenandoah, TX; Tomball, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Conroe and Texas

18 active clinicians are listed under Nurse Practitioner with a practice address in Conroe, TX (4,835 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Conroe

11.1% of these 18 clinicians have the CMS telehealth indicator.

38.9% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-26
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES TX AP135029

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Secondary Practice Locations

16131 N Eldridge Pkwy Ste 200

Tomball, TX 773779130

Phone: 8309985889

19073 I 45 S Ste 145

Shenandoah, TX 773858744

Phone: 8309985889

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location June 26, 2025

Registered at 100 INTERSTATE 45 N STE 152A, CONROE, TX 773012837 (Tel: 8309985889)

πŸ“
Updated Business Mailing Address June 26, 2025

Registered at 310 STONE PILLAR CT, WILLIS, TX 773181002 (Tel: 8309985889)

πŸ‘€
Provider Name / Credentials Updated June 26, 2025

Recorded as VIVIAN RACKLIFFE, DNP, FNP-C

πŸ“
Updated Practice Location February 15, 2022

Registered at 16131 N ELDRIDGE PKWY STE 200, TOMBALL, TX 773779130 (Tel: 8309985889)

πŸ“
Updated Business Mailing Address February 15, 2022

Registered at 16131 N ELDRIDGE PKWY STE 200, TOMBALL, TX 773779130 (Tel: 8309985889)

πŸ‘€
Provider Name / Credentials Updated February 15, 2022

Recorded as VIVIAN JONES, DNP, FNP-C

βœ…
NPI Profile Active November 30, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 30, 2017

Registered at 13801 NAPOLI DR APT 6210, HOUSTON, TX 770702682 (Tel: 8309985889)

πŸ“
Business Mailing Address (Initial Record) November 30, 2017

Registered at 13801 NAPOLI DR APT 6210, HOUSTON, TX 770702682 (Tel: 8309985889)

πŸ‘€
Provider Name / Credentials (Initial Record) November 30, 2017

Recorded as VIVIAN KIM, DNP, FNP-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2017

Nurse Practitioner (license number reported to NPPES: TX AP135029)

🟒
Initial NPI Registration & Enumeration November 30, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1790299626
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2017
Last Update: June 26, 2025
Sole Proprietor: No

Other Nurse Practitioners in Conroe

All Nurse Practitioners in Conroe

Mailing Address

310 Stone Pillar Ct

Willis, TX 773181002

Phone: 8309985889

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.