Individual provider Active NPI

Sherry C Gaillard, APRN-RX

  • Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
  • Honolulu, HI
National Provider Identifier
1285897512
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X
License
APRN 1039 Issued in HI
Practice address
210 Ward Ave Ste 124
Honolulu, HI 96814-4000
Phone
(808) 585-1424
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X APRN 1039 HI Primary

Addresses

Primary practice location

210 Ward Ave Ste 124
Honolulu, HI 96814-4000

Mailing address

210 Ward Ave Ste 124
Honolulu, HI 96814-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251229003052 HI Practitioner - Certified Clinical Nurse Specialist (CNS) 8820584808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

55 Merchant St
Honolulu, HI 96813-4333

PO Box
Suite 740243
Los Angeles, CA 90074-0243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN 1039HIMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kapiolani Medical Specialists CurrentSince Oct 5, 2025 Accepting new patients
Kapiolani Medical Center for Women & Children Past Accepting new patients
Hawaii Behavioral Health, LLC Past Accepting new patients

Locations

1401 S Beretania St
Ste 920
Honolulu, HI 96814
Phone (808) 983-6100

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

Organizations & group practices 3

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1285897512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WARD AVE STE 124",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WARD AVE STE 124",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144000",
            "telephone_number": "808-585-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAILLARD",
        "first_name": "SHERRY",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "APRN-RX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "HI",
            "license": "APRN 1039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.