Base Performance LLC
NPI 1760375067ActiveOrganization· Dietitian, Registered· Ijamsville, MD
Dietitian, Registered in Ijamsville, Maryland, registered in NPPES in June 2025. The authorized official on file is Ethan Okunas, RD, LDN, Dietitian/Owner.
Overview
| NPI | 1760375067 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 3, 2025 |
| Last updated in NPPES | Jun 3, 2025 |
| Certified by provider | Jun 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dietitian, Registered providers in Ijamsville
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