Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MRS. IDA SUE MONTGOMERY CRNP
NPI 1104809359
Nurse Practitioner - Primary Care in Fort Rucker, AL

Active since November 22, 2005
301 ANDREWS AVENUE, LYSTER ARMY OUTPATIENT CLINIC, FORT RUCKER, AL 36362(334) 255-7387 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Ida Sue Montgomery Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. IDA SUE MONTGOMERY CRNP (NPI 1104809359) is an individual primary care provider in Fort Rucker, Alabama, licensed in Hawaii (APRN-384) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1104809359
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. IDA SUE MONTGOMERYCredential: CRNP
Location Address301 ANDREWS AVENUE, LYSTER ARMY OUTPATIENT CLINICFort Rucker, AL 36362
Mailing Address301 Andrews Avenue, Lyster Army Outpatient ClinicFort Rucker, AL 36362 · (334) 255-7387
Sole ProprietorNo
Enumeration DateNovember 22, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1104809359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in HI · APRN-384
301 ANDREWS AVENUE, Fort Rucker, AL 36362

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
301 ANDREWS AVENUE
FORT RUCKER, AL 36362
Pharmacist
301 ANDREWS AVENUE
FORT RUCKER, AL 36362
Emergency Medicine
301 ANDREWS AVENUE
FORT RUCKER, AL 36362
Physical Therapy Assistant
301 ANDREWS AVENUE, LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
Physician Assistant
301 ANDREWS AVENUE
FORT NOVOSEL, AL 36362
Internal Medicine
301 ANDREWS AVENUE, LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
Registered Nurse (Case Management)
301 ANDREWS AVENUE
FORT RUCKER, AL 36362
Licensed Practical Nurse
301 ANDREWS AVENUE, BLDG LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ida Montgomery's NPI number?

The NPI number for Ida Montgomery is 1104809359. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Ida Montgomery located?

Ida Montgomery practices at 301 Andrews Avenue Lyster Army Outpatient Clinic, Fort Rucker, AL 36362. The listed phone number is (334) 255-7387.

What is Ida Montgomery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Ida Montgomery was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.