Vivian Danita Rackliffe, DNP, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP135029 Issued in TX

Practice address

100 Interstate 45 N Ste 152a
Conroe, TX 77301-2837

Phone

(830) 998-5889

Fax

(830) 998-5889

NPI assigned

Nov 30, 2017

Last updated

Jun 26, 2025By 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

• Dr. Vivian Danita Kim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1790299626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 STONE PILLAR CT",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773181002",
            "telephone_number": "830-998-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INTERSTATE 45 N STE 152A",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012837",
            "telephone_number": "830-998-5889",
            "fax_number": "830-998-5889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16131 N Eldridge Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tomball",
            "state": "TX",
            "postal_code": "773779130",
            "country_code": "US",
            "telephone_number": "830-998-5889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19073 I 45 S Ste 145",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773858744",
            "country_code": "US",
            "telephone_number": "830-998-5889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACKLIFFE",
        "first_name": "VIVIAN",
        "middle_name": "DANITA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP135029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "KIM",
            "middle_name": "DANITA",
            "prefix": "DR.",
            "credential": "DNP, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Nurse Practitioner in Conroe, TX
• Providers in Conroe, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.