Individual provider Active NPI

Shawn Halton Portwood, RDN

  • Registered Dietitian
  • Madison, WI
National Provider Identifier
1487538542
Registry record updated Aug 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
5429-29 Issued in WI
Practice address
2725 Marshall CT Apt 212
Madison, WI 53705-2288
Phone
(413) 275-3176
NPI assigned
Aug 2, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 5429-29 WI Primary

Addresses

Primary practice location

2725 Marshall CT Apt 212
Madison, WI 53705-2288

Mailing address

2725 Marshall CT Apt 212
Madison, WI 53705-2288
Phone (413) 275-3176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5429-29WIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor & Apex, LLC Dietitian, Registered CurrentSince Aug 3, 2025 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

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": "1754092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754697600000",
    "number": "1487538542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 MARSHALL CT APT 212",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052288",
            "telephone_number": "413-275-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 MARSHALL CT APT 212",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052288",
            "telephone_number": "413-275-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTWOOD",
        "first_name": "SHAWN",
        "middle_name": "HALTON",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-02",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "5429-29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.