Autumn Tye Mast, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

12568 Broadway St Ste 160
Pearland, TX 77584-8969

Phone

(832) 619-1669

NPI assigned

May 9, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Dr. Tuere Coulter, PLLC

  • Clinic/Center
  • Pearland, TX
  • NPI 1881158525
  Medicare reassignment

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1790475150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12568 BROADWAY ST STE 160",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848969",
            "telephone_number": "832-619-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12568 BROADWAY ST STE 160",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848969",
            "telephone_number": "832-619-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAST",
        "first_name": "AUTUMN",
        "middle_name": "TYE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Martinez
• Angela Marunowski, M.S., CCC/SLP
• Mary Angela Knauss MD PA
• Jackson Edward Massanelli, MD
• Keshunda Massington
• Master Imaging, LLC
• Kristin Mata
• Lisa Mata
• Sonia Mathew, FNP-C
• Tiffany Lynn Mauldin, PA

• Physician Assistant in Pearland, TX
• Providers in Pearland, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.