Jaclyn M Gutierrez, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

10-1028 Issued in NV

Practice address

2490 Paseo Verde Pkwy Ste 155
Henderson, NV 89074-7120

Phone

(702) 515-4009

NPI assigned

Jul 15, 2026

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1386563906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 AUDRA FAYE AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525002",
            "telephone_number": "702-862-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 PASEO VERDE PKWY STE 155",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747120",
            "telephone_number": "702-515-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JACLYN",
        "middle_name": "M",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NV",
            "license": "10-1028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Gutierrez-Avila, LCSW
• Alexandra Gutierrez
• Arabella Gutierrez
• Astley Gutierrez
• Irene Amanda Gutierrez, MD, MPH
• Jake Gutierrez
• Manuel Fernando Gutierrez Jr., MD
• Maria Theresa Gutierrez, APRN
• Maricela Gutierrez
• Paul Martin Gutierrez, DDS

• Occupational Therapy Assistant in Henderson, NV
• Providers in Henderson, NV by specialty
• Occupational Therapy Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.