Active NPI
Mikayla Dyman Holinej, RN
- Emergency Registered Nurse
- Lawton, PA
National Provider Identifier
1730037110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- License
- 331990-1
- Practice address
- 34 Quail LN
Lawton, PA 18828-7743 - Phone
- (607) 798-5231
- NPI assigned
- Mar 20, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 331990-1 | NY | MD | Emergency Registered Nurse |
| 793978 | PA | MD | School Registered Nurse |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 793978 | PA | |
| Emergency Registered Nurse | 163WE0003X | 331990-1 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
34 Quail LN
Lawton, PA 18828-7743
Mailing address
34 Quail LN
Lawton, PA 18828-7743
Other practice location 1
34 Quail Ln
Lawton, PA 18828-7743
Phone (570) 278-1106
Other names 1
NPPES NPI Registry- Mikayla Dyman Dougals
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 20, 2026.
{
"created_epoch": "1773964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1730037110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 QUAIL LN",
"city": "LAWTON",
"state": "PA",
"postal_code": "188287743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 QUAIL LN",
"city": "LAWTON",
"state": "PA",
"postal_code": "188287743",
"telephone_number": "607-798-5231"
}
],
"practiceLocations": [
{
"address_1": "34 Quail Ln",
"address_purpose": "LOCATION",
"city": "Lawton",
"state": "PA",
"postal_code": "188287743",
"country_code": "US",
"telephone_number": "570-278-1106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLINEJ",
"first_name": "MIKAYLA",
"middle_name": "DYMAN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-20",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "PA",
"license": "793978",
"primary": false
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "NY",
"license": "331990-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIKAYLA",
"last_name": "DOUGALS",
"middle_name": "DYMAN",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.