Emma Lynn Webb Van Der Mik, RDN is a
Dietitian, Registered based in Antelope, California. Emma Lynn Webb Van Der Mik is licensed to practice in NU (license number ) and her current practice location is
3555 Hiawatha Way, Antelope, California. She can be reached at her office (for appointments etc.) via phone at
(707) 208-0988.
NPI number for Emma Lynn Webb Van Der Mik is 1740138437 and her current mailing address is 3555 Hiawatha Way, Antelope, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740138437.
Healthcare Provider's Profile
| Full Name | Emma Lynn Webb Van Der Mik |
|---|
| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 3555 Hiawatha Way, Antelope, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740138437
- Provider Enumeration Date: 03/18/2026
- Last Update Date: 03/18/2026
Medical Identifiers
Medical identifiers for Emma Lynn Webb Van Der Mik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740138437 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | (NU) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emma Lynn Webb Van Der Mik is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Emma Lynn Webb Van Der Mik, RDN 3555 Hiawatha Way, Antelope, CA 95843-6215 Ph: (707) 208-0988 | Emma Lynn Webb Van Der Mik, RDN 3555 Hiawatha Way, Antelope, CA 95843-6215 Ph: (707) 208-0988 |
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