Active NPI
Randall L Holyfield Sr., BC-HIS ACA
- Hearing Instrument Specialist
- Loveland, CO
National Provider Identifier
1982754057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA 223
- Practice address
- 1135 N Lincoln Ave
Suite 2
Loveland, CO 80537-4877 - Phone
- (970) 292-8023
- Fax
- (970) 292-8459
- NPI assigned
- Jan 11, 2007
- Last updated
- Feb 16, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | ACA | MI | |
| Hearing Instrument Specialist | 237700000X | HA 7090 | CA | |
| Hearing Instrument Specialist | 237700000X | HAD 5089 | AZ | |
| Hearing Instrument Specialist | 237700000X | BC-HIS 6793 | MI | |
| Hearing Instrument Specialist | 237700000X | HA 223 | CO | Primary |
| Hearing Instrument Specialist | 237700000X | 80372 | TX |
Addresses
Primary practice location
1135 N Lincoln Ave
Suite 2
Loveland, CO 80537-4877
Mailing address
1135 N Lincoln Ave
Suite 2
Loveland, CO 80537-4877
Phone (970) 292-8023
Other names 1
- Mr. Randy Holyfield
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 |
|---|---|---|---|
| 80372 | TX | MD | Professional Counselor |
| ACA | MI | MD | Audiologist-Hearing Aid Fitter |
| HAD 5089 | AZ | MD | Hearing Instrument Specialist |
| HA 7090 | CA | MD | Hearing Instrument Specialist |
| HA 223 | CO | MD | Hearing Instrument Specialist |
| BC-HIS 6793 | MI | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randall Hearing LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1982754057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 N LINCOLN AVE",
"address_2": "SUITE 2",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805374877",
"telephone_number": "970-292-8023",
"fax_number": "970-292-8459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 N LINCOLN AVE",
"address_2": "SUITE 2",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805374877",
"telephone_number": "970-292-8023",
"fax_number": "970-292-8459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLYFIELD",
"first_name": "RANDALL",
"middle_name": "L",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "BC-HIS ACA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MI",
"license": "ACA",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HA 7090",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "AZ",
"license": "HAD 5089",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MI",
"license": "BC-HIS 6793",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CO",
"license": "HA 223",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TX",
"license": "80372",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RANDY",
"last_name": "HOLYFIELD",
"prefix": "MR.",
"credential": "BC-HIS ACA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.