Individual provider Active NPI

Laura R Korman, D.C., P.A.

  • Nutrition Chiropractor
  • Port Charlotte, FL
National Provider Identifier
1336156173
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
CH0005942 Issued in FL
Practice address
16954 Toledo Blade Blvd
Port Charlotte, FL 33954-1674
Phone
(941) 629-6700
Fax
(941) 629-6805
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X CH0005942 FL Primary

Addresses

Primary practice location

16954 Toledo Blade Blvd
Port Charlotte, FL 33954-1674

Mailing address

16954 Toledo Blade Blvd
Port Charlotte, FL 33954-1674
Phone (941) 629-6700

Other identifiers 2

IdentifierTypeStateIssuer
22466OtherFLBLUE CROSS/BLUE SHIELD
380931500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050427000394 FL Practitioner - Chiropractic 5890734149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laura R. Korman DC PAGroup PAC ID 2668538760, 2 clinicians

Practice addresses (Care Compare)

16954 Toledo Blade Blvd
Port Charlotte, FL 33954-1674
Phone (941) 629-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
CH0005942FLMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Laura R. Korman DC PA Nutrition CurrentSince Mar 4, 2005 Accepting new patients
PCP - Health PLLC PastSince Nov 9, 2025 Accepting new patients

Locations

16954 Toledo Blade Blvd
Pt Charlotte, FL 33954
Phone (941) 564-9009

20101 Peachland Blvd
Unit 209
Pt Charlotte, FL 33954
Phone (941) 629-6700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1336156173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16954 TOLEDO BLADE BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339541674",
            "telephone_number": "941-629-6700",
            "fax_number": "941-629-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16954 TOLEDO BLADE BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339541674",
            "telephone_number": "941-629-6700",
            "fax_number": "941-629-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORMAN",
        "first_name": "LAURA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C., P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "CH0005942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "22466",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380931500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.