NPI 1275217507

Janice Therese Satajo Bautista, DPM

Practitioner Podiatrist Providence, RI

Practice location

Address: 825 Chalkstone Ave, Providence, RI 02908-4728
Phone: (401) 456-2000
Mailing address: 1036 Branchview Dr STE 216, Concord, NC 28025-0113

Registered specialties (4)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence LPR00257 (RI)

Other Podiatrist providers in Rhode Island →

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 863 (NC)

Foot Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence 863 (NC)

Primary Podiatric Medicine Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence 863 (NC)

Registry record

NPI: 1275217507
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2023
Record last updated: 21 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.