Individual provider Active NPI

Randall L Holyfield Sr., BC-HIS ACA

  • Hearing Instrument Specialist
  • Loveland, CO
National Provider Identifier
1982754057
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA 223 Issued in CO
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
80372TXMDProfessional Counselor
ACAMIMDAudiologist-Hearing Aid Fitter
HAD 5089AZMDHearing Instrument Specialist
HA 7090CAMDHearing Instrument Specialist
HA 223COMDHearing Instrument Specialist
BC-HIS 6793MIMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.