Individual provider Active NPI

Mikayla Dyman Holinej, RN

  • Emergency Registered Nurse
  • Lawton, PA
National Provider Identifier
1730037110
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
331990-1 Issued in NY
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

LicenseStateTypeSpecialty
331990-1NYMDEmergency Registered Nurse
793978PAMDSchool Registered Nurse

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 793978 PA
Emergency Registered Nurse 163WE0003X 331990-1 NY Primary

Addresses

NPPES NPI Registry

Primary 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 Former name

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.

Verify at the official NPI Registry.