Lyle William Christiansen, MD

Primary specialty

Forensic Pathology PhysicianTaxonomy code 207ZF0201X

License

66925 Issued in TN

Practice address

637 Poplar Ave
Memphis, TN 38105-4509

Phone

(901) 222-4600

NPI assigned

Apr 8, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1912460825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W CHAMBERS CT APT 2",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101181",
            "telephone_number": "404-429-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381054509",
            "telephone_number": "901-222-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "LYLE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-08",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "TN",
            "license": "66925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Counseling and Consulting, LLC
• Christian Counseling and Consulting, LLC
• Christian Psychological Center, Inc.
• James M. Christian, DDS
• Solomon K Christian, DDS
• Tracey Denise Christion, D.D.S.
• Christopher Andrew Clarke
• Christopher Todd Bell DDS PLLC
• Amanda Paige Christopher, CRNA
• Janelle R Christopher, BS

• Forensic Pathology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Forensic Pathology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.