Individual provider Active NPI

Traci Ann Rizk, APRN

  • Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1619454220
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP138470 Issued in TX
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

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181121000579 TX Practitioner - Nurse Practitioner 9537413976 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
257358TXMDRegistered Nurse
AP138470TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Bone & Joint Institute, PA CurrentSince Oct 1, 2018 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.

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

Verify at the official NPI Registry.