EMMA LYNN WEBB VAN DER MIK RDN
NPI 1740138437
Dietitian, Registered in Antelope, CA

Q: What is Emma Van Der Mik's NPI number?

The NPI number for Emma Van Der Mik is 1740138437. It was assigned to this individual provider in the NPPES registry on March 18, 2026. The provider is also known as Emma Lynn Webb Rdn.

Q: What is Emma Van Der Mik's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Emma Van Der Mik was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 18, 2026

3555 HIAWATHA WAY, ANTELOPE, CA 95843(707) 208-0988 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Emma Lynn Webb Van Der Mik Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMA LYNN WEBB VAN DER MIK RDN (NPI 1740138437) is an individual dietitian, registered in Antelope, California and active in the NPI registry since March 2026. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1740138437

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameEMMA LYNN WEBB VAN DER MIKCredential: RDN

Location Address3555 HIAWATHA WAYAntelope, CA 95843-6215

Mailing Address3555 Hiawatha WayAntelope, CA 95843-6215 · (707) 208-0988

Phone(707) 208-0988

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 18, 2026

NPPES CertifiedMarch 18, 2026

✔ NPI 1740138437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

3555 HIAWATHA WAY, Antelope, CA 95843

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Other Names 1

Former Name (1)Emma Lynn Webb Rdn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emma Lynn Webb Van Der Mik Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567921778

PECOS Enrollment IDI20260827005106

Medicare Billing Reassignment

Medicare enrollment records show Emma Van Der Mik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unika Health Inc

98 mi

Dietitian, Registered

880 W MAUDE AVE
Sunnyvale, CA 94085

Reassigned Medicare billing, California enrollment
8 clinicians in this Medicare group

NPI 1881552073 (650) 800-5357

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emma Van Der Mik's NPI number?

The NPI number for Emma Van Der Mik is 1740138437. It was assigned to this individual provider in the NPPES registry on March 18, 2026. The provider is also known as Emma Lynn Webb Rdn.

Where is Emma Van Der Mik located?

Emma Van Der Mik practices at 3555 Hiawatha Way, Antelope, CA 95843. The listed phone number is (707) 208-0988.

What is Emma Van Der Mik's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Emma Van Der Mik enrolled in Medicare?

Yes. Emma Van Der Mik is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emma Van Der Mik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emma Van Der Mik reassigns Medicare benefits to Unika Health Inc (Sunnyvale, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emma Van Der Mik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Emma Van Der Mik was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.