Active NPI
Randall Lee Holyfield Jr., HAD
- Hearing Instrument Specialist
- Fort Collins, CO
National Provider Identifier
1790579274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HAD.0000575
- Practice address
- 2601 S Lemay Ave Unit 41
Fort Collins, CO 80525-2297 - Phone
- (970) 286-2607
- NPI assigned
- Apr 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HAD.0000575 | CO | Primary |
Addresses
Primary practice location
2601 S Lemay Ave Unit 41
Fort Collins, CO 80525-2297
Mailing address
2601 S Lemay Ave Unit 41
Fort Collins, CO 80525-2297
Phone (970) 286-2607
Other names 1
- Randy Lee Holyfield Jr.
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HAD.0000575 | CO | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MLM USA LLC | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Organizations & group practices 1
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": "1744070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1790579274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 S LEMAY AVE UNIT 41",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805252297",
"telephone_number": "970-286-2607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 S LEMAY AVE UNIT 41",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805252297",
"telephone_number": "970-286-2607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLYFIELD",
"first_name": "RANDALL",
"middle_name": "LEE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "HAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-08",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CO",
"license": "HAD.0000575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RANDY",
"last_name": "HOLYFIELD",
"middle_name": "LEE",
"suffix": "JR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.