Individual provider Active NPI

Lydia R Christiansen, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Charleston, SC
National Provider Identifier
1952499667
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
23974 Issued in SC
Practice address
9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone
(843) 847-4179
Fax
(843) 847-4296
NPI assigned
Oct 10, 2006
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X 23974 SC
Hematology (Pathology) Physician 207ZH0000X CDR.0002528 CO
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 7658A WY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X CDR.0002528 CO
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 23974 SC Primary

Addresses

Primary practice location

9330 Medical Plaza Dr
Charleston, SC 29406-9104

Mailing address

PO Box 741087
Atlanta, GA 30374-1087
Phone (843) 847-4179

Other practice location 1

1719 E 19th Ave
Denver, CO 80218-1235
Phone (720) 754-6851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, TX, SD, SC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20070703000048 WY Practitioner - Pathology 1658471784 Reassigns benefits to 2 organizations
I20230626001941 TX Practitioner - Pathology 1658471784 Reassigns benefits to 5 organizations
I20240409004462 SD Practitioner - Pathology 1658471784 Reassigns benefits to 1 organization
I20240909003092 SC Practitioner - Pathology 1658471784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CDR.0002528COMDHematology (Pathology) Physician
23974SCMDHematology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoskinson Health & Wellness Clinic LLC CurrentSince Aug 18, 2025 Accepting new patients
Avera St. Luke's Current Accepting new patients
Wyoming Medical Center Inc Current Accepting new patients
Hoskinson Health & Wellness Clinic LLC Current Accepting new patients
North Platte Pathology LLC CurrentSince Dec 1, 2011 Accepting new patients
Avera St Lukes CurrentSince Feb 28, 2024 Accepting new patients
Avera St. Lukes CurrentSince Feb 28, 2024 Accepting new patients
Sagis, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Mar 31, 2023 Accepting new patients
Sagis PLLC CurrentSince Mar 31, 2023 Accepting new patients
Alliance Pathology Consultants PA Hematology CurrentSince Jun 18, 2023 Accepting new patients
J S Wilkenfeld MD & Associates Anatomic Pathology & Clinical Pathology CurrentSince Mar 31, 2023 Accepting new patients
Houston Pathology Associates Anatomic Pathology & Clinical Pathology CurrentSince Mar 31, 2023 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Professional Pathology of Wyoming Anatomic Pathology & Clinical Pathology PastSince Jun 1, 2024 Accepting new patients
Central Wyoming Pathologists PC Hematology PastSince Aug 1, 2010 Accepting new patients
Professional Pathology of Wyoming Past Accepting new patients
Wind River Pathology, LLC Anatomic Pathology & Clinical Pathology PastSince Jul 1, 2007 Accepting new patients

Locations

305 S State St
Aberdeen, SD 57401
Phone (605) 229-3000

1033 La Posada Dr
Ste 365
Austin, TX 78752

2537 S Gessner Rd
Ste 200
Houston, TX 77063

4131 Directors Row
Houston, TX 77092
Phone (713) 586-6705

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

10918 Vance Jackson Rd
Ste 100
San Antonio, TX 78230
Phone (210) 558-9996

16906 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 243-1000

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

201 W Lakeway Rd
Ste 200
Gillette, WY 82718
Phone (307) 387-9850

469 Wyoming Highway 50
Gillette, WY 82718
Phone (307) 387-9850

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/dcf3b1c6-3971-4673-962e-8b2cce0ff827/
  • Direct secure messaging: lydia.christiansen.1@26742.direct.athenahealth.com

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1952499667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741087",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741087",
            "telephone_number": "843-847-4179",
            "fax_number": "843-847-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 MEDICAL PLAZA DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069104",
            "telephone_number": "843-847-4179",
            "fax_number": "843-847-4296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1719 E 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802181235",
            "country_code": "US",
            "telephone_number": "720-754-6851",
            "fax_number": "303-869-1786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "LYDIA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "SC",
            "license": "23974",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "CO",
            "license": "CDR.0002528",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WY",
            "license": "7658A",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CO",
            "license": "CDR.0002528",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": "23974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.