Active NPI
Traci Ann Rizk, APRN
- Nurse Practitioner
- Beaumont, TX
National Provider Identifier
1619454220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP138470
- Practice address
- 3460 N. Dowlen Rd
Beaumont, TX 77706-7690 - Phone
- (409) 838-0346
- Fax
- (409) 839-3720
- NPI assigned
- Jul 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 257358 | TX | |
| Nurse Practitioner | 363L00000X | AP138470 | TX | Primary |
Addresses
Primary practice location
3460 N. Dowlen Rd
Beaumont, TX 77706-7690
Mailing address
3460 N. Dowlen Rd
Beaumont, TX 77706-7690
Phone (409) 838-0346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257358 | TX | MD | Registered Nurse |
| AP138470 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Bone & Joint Institute, PA | Current | Accepting new patients |
Locations
3650 Laurel St
Beaumont, TX 77707
Phone (409) 838-0346
3460 Dowlen Rd
Beaumont, TX 77706
Phone (409) 838-0346
2927 Park Plaza Ln
Port Arthur, TX 77642
Phone (409) 883-3744
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.
-
- Orthopaedic Surgery Physician
- Beaumont, TX
- NPI 1861446148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1619454220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3460 N. DOWLEN RD",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777067690",
"telephone_number": "409-838-0346",
"fax_number": "409-839-3720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3460 N. DOWLEN RD",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777067690",
"telephone_number": "409-838-0346",
"fax_number": "409-839-3720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZK",
"first_name": "TRACI",
"middle_name": "ANN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-26",
"last_updated": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "257358",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP138470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.