Provider Demographics
NPI:1992693196
Name:GODAIRE, SKYE LYNN
Entity type:Individual
Prefix:
First Name:SKYE
Middle Name:LYNN
Last Name:GODAIRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2073 N HANCOCK ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-2739
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1040 CADY DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:NE
Practice Address - Zip Code:68002-3163
Practice Address - Country:US
Practice Address - Phone:402-312-7271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care