Active NPIIndividual provider

Janice Therese S Bautista, DPM

Podiatrist in Providence, Rhode Island

NPI Number1275217507
Practice location
825 Chalkstone Ave, Providence, RI 02908-4728
Fax
—
Last updated
May 21, 2026

Janice Therese Satajo Bautista is a Podiatrist based in Providence, RI. Janice Therese Satajo Bautista practices in Providence, RI and has the professional credentials of DPM. The NPI Number for Janice Therese Satajo Bautista is 1275217507 and holds a License No. LPR00257 (RI). The current practice location address for Janice Therese Satajo Bautista is 825 Chalkstone Ave, Providence, RI 02908-4728 and can be reached out via phone at 401-456-2000.

Provider Profile Details

NPI Number
1275217507
Provider Name
Janice Therese Satajo Bautista
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
825 Chalkstone Ave, Providence, RI 02908-4728
Phone Number
401-456-2000
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
No
Provider Enumeration Date
June 15, 2023
Last Update Date
May 21, 2026
Certification Date
May 21, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
825 Chalkstone Ave
Providence, RI 02908-4728
Zip
02908-4728
Phone Number
401-456-2000
Providence, RI 02908Get directions →

Provider Business Mailing Address Details

Address
1036 Branchview Dr Ste 216
Concord, NC 28025-0113
City
Concord
State
NC
Zip
28025-0113
Phone Number
704-886-1918

License Information

License Number (1)
LPR00257
License State (1)
RI
Taxonomy (1)
Podiatrist · 213E00000X · Primary
License Number (2)
863
License State (2)
NC
Taxonomy (2)
Podiatrist, Foot & Ankle Surgery · 213ES0103X
License Number (3)
863
License State (3)
NC
Taxonomy (3)
· 213ES0131X
License Number (4)
863
License State (4)
NC
Taxonomy (4)
Podiatrist, Primary Podiatric Medicine · 213EP1101X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Janice Therese S Bautista, DPM?

The NPI number of Janice Therese S Bautista, DPM is 1275217507. It was assigned on June 15, 2023 and is currently active in the NPPES registry.

What is the specialty of Janice Therese S Bautista, DPM?

Janice Therese S Bautista, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in RI under license number LPR00257.

Where does Janice Therese S Bautista, DPM practice?

The practice location is 825 Chalkstone Ave, Providence, RI 02908-4728. The office can be reached at 401-456-2000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275217507 directly on the NPPES registry website.

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