Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Base Performance LLC

Organization Registered Dietitian · NPI 1760375067

Base Performance LLC is a Registered Dietitian in Ijamsville, Maryland. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2903 Loch Haven Ct
Ijamsville, MD 21754-8813
Phone: (508) 333-8639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1760375067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ethan Okunas — Dietitian/Owner · (508) 333-8639
NPI enumeratedJune 3, 2025
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing address2903 Loch Haven Ct, Ijamsville, MD 21754-8813

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