Individual provider Active NPI

Janice Therese Satajo Bautista, DPM

  • Podiatrist
  • Providence, RI
National Provider Identifier
1275217507
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
LPR00257 Issued in RI
Practice address
825 Chalkstone Ave
Providence, RI 02908-4728
Phone
(401) 456-2000
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X LPR00257 RI Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 863 NC
Foot Surgery Podiatrist 213ES0131X 863 NC
Primary Podiatric Medicine Podiatrist 213EP1101X 863 NC

Addresses

Primary practice location

825 Chalkstone Ave
Providence, RI 02908-4728

Mailing address

1036 Branchview Dr Ste 216
Concord, NC 28025-0113
Phone (704) 886-1918

Other practice location 1

123 Pompano Pl Ste 500
Jacksonville, NC 28546-5294
Phone (910) 939-3668

Other practice location 2

205 E Main St
Wallace, NC 28466-2721
Phone (910) 285-3362

Other practice location 3

1602 Doctors Cir
Wilmington, NC 28401-7406
Phone (910) 791-1300

Other practice location 4

603 Pecan Ln
Whiteville, NC 28472-2949
Phone (910) 642-0473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250605002727 RI Order and Referring Only - PodiatryPractitioner - Podiatry 1850801259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
863NCMDProfessional Counselor
LPR00257RIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Instride Foot and Ankle Specialists, PLLC Podiatrist CurrentSince Jul 1, 2026 Accepting new patients
Instride Foot and Ankle Specialists, PLLC Podiatrist PastSince Jul 1, 2026 Accepting new patients

Locations

1036 Branchview Dr
Ste 216
Concord, NC 28025
Phone (704) 886-1918

123 Pompano Pl
Ste 500
Jacksonville, NC 28546
Phone (910) 939-3668

205 E Main St
Wallace, NC 28466
Phone (910) 285-3362

603 Pecan Ln
Whiteville, NC 28472
Phone (910) 640-1400

1602 Doctors Cir
Wilmington, NC 28401
Phone (910) 343-8889

Organizations & group practices 2

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": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1275217507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 BRANCHVIEW DR STE 216",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250113",
            "telephone_number": "704-886-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084728",
            "telephone_number": "401-456-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Pompano Pl Ste 500",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285465294",
            "country_code": "US",
            "telephone_number": "910-939-3668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 E Main St",
            "address_purpose": "LOCATION",
            "city": "Wallace",
            "state": "NC",
            "postal_code": "284662721",
            "country_code": "US",
            "telephone_number": "910-285-3362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1602 Doctors Cir",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017406",
            "country_code": "US",
            "telephone_number": "910-791-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 Pecan Ln",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284722949",
            "country_code": "US",
            "telephone_number": "910-642-0473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "JANICE THERESE",
        "middle_name": "SATAJO",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "RI",
            "license": "LPR00257",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "863",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "863",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.