Individual provider Active NPI

Jacquelyn Elizabeth Antal, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Melbourne Beach, FL
National Provider Identifier
1437080322
Registry record updated Sep 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11048425 Issued in FL
Practice address
321 Ocean Ave
Melbourne Beach, FL 32951-2572
Phone
(321) 328-7026
Fax
(321) 233-0320
NPI assigned
May 28, 2026
Last updated
Sep 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11048425 FL Primary

Addresses

Primary practice location

321 Ocean Ave
Melbourne Beach, FL 32951-2572

Mailing address

321 Ocean Ave Ste 213
Melbourne Beach, FL 32951-2569
Phone (321) 328-7026

Other identifiers 1

IdentifierTypeStateIssuer
APRN11048425OtherFLAPRN LICENSE

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
RN9607217FLMDBehavioral Neurology & Neuropsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790467200000",
    "number": "1437080322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 OCEAN AVE STE 213",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329512569",
            "telephone_number": "321-328-7026",
            "fax_number": "321-233-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 OCEAN AVE",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329512572",
            "telephone_number": "321-328-7026",
            "fax_number": "321-233-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTAL",
        "first_name": "JACQUELYN",
        "middle_name": "ELIZABETH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-09-27",
        "certification_date": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11048425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "APRN11048425",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2026; 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.