NPI 1275217507 · live from the CMS NPI Registry
Janice Therese Satajo Bautista, DPM
Podiatrist in Providence, RI. National Provider Identifier 1275217507, active.
NPI record
| NPI | 1275217507 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 825 Chalkstone Ave, Providence, RI 02908 |
| Practice phone | 401-456-2000 |
| Mailing address | 1036 Branchview Dr Ste 216, Concord, NC 28025 |
| Enumerated | June 15, 2023 |
| Last updated | May 21, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | LPR00257 (RI) |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 863 (NC) |
| 213ES0131X | 863 (NC) | |
| Podiatrist, Primary Podiatric Medicine | 213EP1101X | 863 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.