Active NPI
Rene Mackinnon, MD
- Obstetrics & Gynecology Physician
- Jacksonville, FL
National Provider Identifier
1083279863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101271181
- Practice address
- Naval Hospital Jacksonville 2080 Child Street
Jacksonville, FL 32214-0001 - Phone
- (904) 542-7300
- NPI assigned
- May 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0101271181 | VA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | MD |
Addresses
Primary practice location
Naval Hospital Jacksonville 2080 Child Street
Jacksonville, FL 32214-0001
Mailing address
Naval Hospital Jacksonville 2080 Child Street
Jacksonville, FL 32214-0001
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101271181 | VA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765065600000",
"number": "1083279863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NAVAL HOSPITAL JACKSONVILLE 2080 CHILD STREET",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322140001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL HOSPITAL JACKSONVILLE 2080 CHILD STREET",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322140001",
"telephone_number": "904-542-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKINNON",
"first_name": "RENE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-07",
"last_updated": "2025-12-07",
"certification_date": "2025-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101271181",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MD",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.