Individual provider Active NPI

Emily Stoffels Carvajal, MSN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Rockwall, TX
National Provider Identifier
1093563199
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1134201 Issued in TX
Practice address
201 E I30 Ste 100
Rockwall, TX 75087-5402
Phone
(972) 772-3100
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1134201 TX Primary

Addresses

Primary practice location

201 E I30 Ste 100
Rockwall, TX 75087-5402

Mailing address

201 E I30 Ste 100
Rockwall, TX 75087-5402
Phone (972) 772-3100

Other practice location 1

1935 Medical District Dr Ste El200
Dallas, TX 75235-7701
Phone (469) 905-5437

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1134201TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pecan Tree Pediatrics, P.a. CurrentSince Jun 29, 2025 Accepting new patients
Children'S Health PM Urgent Care, PLLC PastSince May 1, 2024 Accepting new patients

Locations

6301 Gaston Ave
Ste 750
Dallas, TX 75214
Phone (214) 214-3100

201 E Interstate 30
Ste 100
Rockwall, TX 75087
Phone (972) 772-3100

3360 W FM 544
Ste 910
Wylie, TX 75098
Phone (972) 429-4800

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": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1093563199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E I30 STE 100",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875402",
            "telephone_number": "972-772-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E I30 STE 100",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875402",
            "telephone_number": "972-772-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1935 Medical District Dr Ste El200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357701",
            "country_code": "US",
            "telephone_number": "469-905-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARVAJAL",
        "first_name": "EMILY",
        "middle_name": "STOFFELS",
        "credential": "MSN, CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1134201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

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