Delissia Moody

Primary specialty

Maternal Newborn Registered NurseTaxonomy code 163WM0102X

License

RN154807 Issued in LA

Practice address

1472 W Fairview Dr
Baton Rouge, LA 70816-1417

Phone

(225) 907-6058

NPI assigned

Sep 5, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1588544811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1472 W FAIRVIEW DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161417",
            "telephone_number": "225-907-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1472 W FAIRVIEW DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161417",
            "telephone_number": "225-907-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "DELISSIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN154807",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "LA",
            "license": "RN154807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Lee Montgomery, M.D.
• Theresa S Montgomery, PHARMD
• Monticello Family Dental Care LLC
• Destiny Montiville
• Ngozi Monu, NP
• Devan Blaine Moody, M.D.
• Jason Mook
• Jeffrey Keith Moonan, M.D.
• Moore Care, LLC
• Moore Care, LLC

• Maternal Newborn Registered Nurse in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Maternal Newborn Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.