Katherine Charles Gardner Bougard, RN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Honolulu, HI
NPI 1154613743 · NPPES record last updated Jun 22, 2026
Key facts
- NPI
- 1154613743
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN3101 (HI)
- Practice address
- 1301 Punchbowl St
Honolulu, HI 96813-2402 - Phone
- (808) 547-4221
- Fax
- (808) 537-7896
- NPI assigned
- May 13, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
- Opted out of Medicare
- Yes, effective Apr 29, 2026 through Apr 29, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 65553 | HI | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN3101 | HI | Yes |
Addresses
Primary practice location
1301 Punchbowl St
Honolulu, HI 96813-2402
Mailing address
1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 547-4221
Other providers in Honolulu, HI
- Raiza Garcia
- Rebecca P. Garcia
- Stephanie Garcia
- Virginia Garcia
- Katie Marie Gardetto
- Aaliyah Gardner
- Abby S. Gardner
- Daniel Patrick Gardner
- Gareth K. Nakasone, MD Inc.
- Sheila Ace Garma
All providers in Honolulu, HI · Psychiatric/Mental Health Nurse Practitioner in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.